| Regimental number | 643 |
| Religion | Church of England |
| Occupation | Miner |
| Address | No.1 Brisbane Street, Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | James Haywood (Holmes), 9 Burnett Street, Hobart, Tasmania |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, C Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Heavy Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
