| Regimental number | 18865 |
| Place of birth | Kent England |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | Charleville, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, J Hazelwood, 35 Aneley Road, Upper Norwood, London SE, England |
| Enlistment date | 20 June 1917 |
| Rank on enlistment | Private |
| Unit name | 14th Australian General Hospital, 1917 Egypt Reinforcements |
| AWM Embarkation Roll number | 26/101/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 31 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Light Horse Field Ambulance |
| Fate | Effective abroad (still overseas) |