| Regimental number | 13409 |
| Place of birth | Port Broughton South Australia |
| School | AS&TB Academy, Adelaide, South Australia |
| Religion | Baptist |
| Occupation | Salesman |
| Address | Clarence Park, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, J H Haines, George Street, Clarence Park, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | March 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Auxiliary Hospital |
| Other details from Roll of Honour Circular | Served in Egypt, France and Belgium. Discharged 5 October 1919. |
| Fate | Returned to Australia |
| Miscellaneous details | b. 23 December 1893 |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
