| Regimental number | 1066 |
| Place of birth | Penshurst, Victoria |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Naracoorte, South Australia |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Sarah A Haynes, Blackwood, South Australia |
| Enlistment date | 15 March 1916 |
| Rank on enlistment | Corporal |
| Unit name | Australian Naval and Military Expeditionary Force, Reinforcements (March 1915-May 1919) |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Matunga on 20 December 1916 |
| Fate | No details of fate entered on Nominal Roll |