| Regimental number | 1666 |
| Place of birth | Beaudesert Qld |
| Religion | Church of England |
| Occupation | Baker |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Edith Jane Haylock, Bowen Street, Brisbane, Queensland |
| Enlistment date | 4 December 1915 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 17 July 1916 |
