| Regimental number | 5704 |
| Place of birth | Murdocks Hill South Australia |
| Religion | Methodist |
| Occupation | Farm hand |
| Address | Nairne, South Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs M A Haines, Nairne, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 32nd Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death |