| Regimental number | 4706 |
| Place of birth | Melbourne Vic |
| Religion | Church of England |
| Occupation | Carter |
| Address | 32 Charles Street, Prahran, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Lilian Beatrice Haynes, 32 Charles Street, Prahran, Melbourne, Victoria |
| Enlistment date | 16 February 1916 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia 25 January 1919 |
