| Regimental number | 1944 |
| Place of birth | Leeds England |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | 'Hansonia', McKean Street, North Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Kate Hainsworth, 'Hansonia', McKean Street, North Fitzroy, Victoria |
| Enlistment date | 15 July 1915 |
| Rank on enlistment | Sapper |
| Unit name | 2nd Field Company Engineers, Reinforcement 9 |
| AWM Embarkation Roll number | 14/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on 14 October 1915 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Light Horse Field Ambulance |
| Fate | Returned to Australia 3 July 1919 |