| Regimental number | 7304 |
| Place of birth | Ashbourne South Australia |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Bridgetown, Western Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs A J Haines, Bridgetown, Western Australia |
| Enlistment date | 18 May 1917 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Ormonde on 13 March 1918 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 12 July 1919 |
