| Regimental number | 5833 |
| Place of birth | Nagambie Victoria |
| Religion | Church of England |
| Occupation | Printer |
| Address | Rochester, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, Stephen Haisman, Rochester, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/41/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Springvale Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
