| Place of birth | Gunnedah New South Wales |
| Religion | Roman Catholic |
| Occupation | Medical practitioner |
| Address | 148 Hay Street, Subiaco, Western Australia |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Haynes, 148 Hay Street, Subiaco, Western Australia |
| Enlistment date | 19 November 1914 |
| Rank on enlistment | Captain |
| Unit name | Australian Stationary Hospital 2 |
| AWM Embarkation Roll number | 26/71/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A55 Kyarra on 14 December 1914 |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 12 December 1915 |
