| Regimental number | 928 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs Emily Haynes, 116 Boxhall Walk, Lambeth, England |
| Enlistment date | 10 September 1914 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, H Company |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A7 Medic on 2 November 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 23 September 1918 |
