| Regimental number | 2624 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Bootmaker |
| Address | 91 Miller Street, Pyrmont, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Matilda Elizabeth Haines, 91 Miller Street, Pyrmont, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 14/13/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on |
| Date of death | |
| Place of burial | Point Clare Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
