| Regimental number | 62491 |
| Place of birth | Kangaroo Flat South Australia |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | Kangaroo Flat, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs J A Haydon, Kangaroo Flat, South Australia |
| Enlistment date | 22 June 1918 |
| Rank on enlistment | Private |
| Unit name | 5th South Australian Reinforcements |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Fate | No details of fate entered on Nominal Roll |
