| Regimental number | 52063 |
| Place of birth | Market Deeping England |
| Religion | Church of England |
| Occupation | Despatch clerk |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs S Hainsworth, c/o Brennan Bros, Hay Street, Perth, Western Australia |
| Enlistment date | 20 November 1917 |
| Rank on enlistment | Private |
| Unit name | Western Australian Reinforcement 1 |
| AWM Embarkation Roll number | 23/111/2 |
| Embarkation details | Unit embarked from Albany, Western Australia, on board SS Port Darwin on 8 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 18 December 1918 |
