| Regimental number | 1094 |
| Place of birth | Yorketown, South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Yorketown, South Australia |
| Marital status | Single |
| Age at embarkation | 20.3 |
| Height | 6' 0" |
| Weight | 146 lbs |
| Next of kin | Sister, Ida Haywood, Yorketown, South Australia |
| Previous military service | Nil |
| Enlistment date | |
| Place of enlistment | Oaklands, South Australia |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 7th Reinforcement |
| AWM Embarkation Roll number | 10/8/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
Commenced return to Australia on board HT 'Port Lincoln', 4 August 1915 (venereal case); declared a deserter, 8 November 1915. Automatically forfeited to war medals. |
| Sources | NAA: B2455, HAYWOOD Charles |