| Regimental number | 3509 |
| Place of birth | Ryde England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bundarra, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, (Mrs. E. Haynes, 93 Clifton Road, Carrington Towers, London, England |
| Enlistment date | 4 August 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 2 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Effective abroad (still overseas) |
