| Regimental number | 2106 |
| Place of birth | Geelong Victoria |
| Religion | Church of England |
| Occupation | Ironmoulder |
| Address | Chester Street, Sth Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Tamar Haasy, Chester Street, Sth Fremantle, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 44th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/61/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 44th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 70 |
| Place of burial | Fremantle Cemetery, Western Australia |