| Regimental number | 7504 |
| Place of birth | Great Sowden England |
| Religion | Church of England |
| Occupation | Bushman and |
| Address | John's Street, Hunters Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 45 |
| Next of kin | Brother, Mr W Haslam, 42 Every Street, Manchester, Lancashire, England |
| Enlistment date | 24 April 1917 |
| Date of enlistment from Nominal Roll | 23 April 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/18/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 25 August 1917 |
| Other details | Died at Parkside Mental Hospital, Adelaide, South Australia. No recorded next of kin. |
| Date of death | 28 May 1944 |
| Age at death | 70 |
| Place of burial | AIF Cemetery, West Terrace, Adelaide, South Australia |
