| Regimental number | 62170 |
| Place of birth | Birkenhead England |
| Religion | Church of England |
| Occupation | Painter |
| Address | Pt Pirie, South Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs N Haynes, Birkenhead, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1-6 (SA) Reinforcements |
| AWM Embarkation Roll number | 23/111/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board SS Gaika on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
