| Regimental number | 58576 |
| Place of birth | Balmain New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Botany, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs G M Haine, 133 Parramatta Road, Camperdown, Sydney, New South Wales |
| Enlistment date | 11 May 1918 |
| Rank on enlistment | Private |
| Unit name | 1st to 15th (NSW) General Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board A40 Ceramic on 22 December 1914 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 19 June 1918 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | Artillery Details |
| Fate | Returned to Australia 22 August 1919 |
