| Regimental number | 10425 |
| Place of birth | Northcote Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Bank of Australasia, St James, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, R Haines, Bank of Australasia, St James, Victoria |
| Enlistment date | 4 November 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 4, Reinforcement 2 |
| AWM Embarkation Roll number | 13/32/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A19 Afric on 5 January 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | Australian Army Pay Corps |
| Fate | Returned to Australia 20 May 1919 |
