| Regimental number | 59394 |
| Religion | Church of England |
| Occupation | Woolcomber |
| Address | Alexandria, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs R E Haeney, 119 Buckland Street, Alexandria, New South Wales |
| Enlistment date | 1 March 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 12 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 July 1918 |
| Miscellaneous details (Nominal Roll) | see other page 30 |