| Regimental number | 7505 |
| Place of birth | Manchester England |
| Religion | Church of England |
| Occupation | Assistant in biology |
| Address | Eagle Junction, Queensland |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, T Haynes, 19 Cumberland Street, Macclesfield, Cheshire, England |
| Enlistment date | 28 April 1917 |
| Rank on enlistment | Sapper |
| Unit name | April 1917 Reinforcements |
| AWM Embarkation Roll number | 16/15/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian Casualty Clearing Station |
| Fate | Returned to Australia 28 August 1919 |