| Regimental number | 67641 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | Fire Station, Hornsby, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, A Haining, Fire Station, Hornsby, New South Wales |
| Previous military service | 2nd Battalion 18th Infantry |
| Enlistment date | 15 September 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 26 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 2 November 1918 |
| Fate | No details of fate entered on Nominal Roll |
