| Regimental number | 50881 |
| Place of birth | Armidale New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Armidale, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs E P Haynes, c/o Isaac Faulkner, West End, Uralla, New South Wales |
| Enlistment date | 12 January 1918 |
| Date of enlistment from Nominal Roll | 12 January 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 1 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 4 July 1919 |
