| Regimental number | 6927A |
| Place of birth | Nagambie Victoria |
| Religion | Church of England |
| Occupation | Printer |
| Address | Rochester, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, S Haisman, Moore Street, Rochester, Victoria |
| Previous military service | 17th Australian Light Horse |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/38/4 |
| 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 | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
