| Regimental number | 58674 |
| Place of birth | Portsmouth England |
| Religion | Church of England |
| Occupation | Valet |
| Address | North Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs L M Haynes, 'Carisbrook', 18 Botany Street, Waverley, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st to 15th (NSW) General Reinforcements |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board A40 Ceramic on |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
