| Regimental number | 5025 |
| Place of birth | Linares Spain |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Tuckerimba, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs. Kate Haselden, Tuckerimba, Richmond River, New South Wales |
| Enlistment date | 13 January 1917 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/48/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 5 September 1919 |
