| Regimental number | 5349 |
| Place of birth | Barker Springs South Australia |
| Religion | Methodist |
| Occupation | Colt breaker |
| Address | Mount Barker, South Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Mary Eliza Haines, Mount Barker, South Australia |
| Enlistment date | 6 June 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 28 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 22 December 1918 |
