
| Regimental number | 5371 |
| Place of birth | Mount Torrens, South Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Nairne, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs M Haines, Nairne, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A60 Aeneas on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 32nd Battalion |
| Other details from Roll of Honour Circular | Died, 27 November 1917 |
| Fate | Killed in Action |
| Place of death or wounding | France |
| Place of burial | La Plus douve Farm Cemetery (Plot III, Row C, Grave No. 20), Belgium |
| Panel number, Roll of Honour, Australian War Memorial | 120 |
| Miscellaneous information from cemetery records | Parents: Mary and Benjamin HAINES. Native of Nairne, South Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |