| Regimental number | 1463 |
| Place of birth | Glanville South Australia |
| Religion | Church of England |
| Occupation | Fisherman |
| Address | c/o Mrs. I. Haire, 47 Victoria Street, Torrensville, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Sister, Mrs. Ivy Haire, 47 Victoria Street, Torrensville, South Australia |
| Enlistment date | 2 July 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/8/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 27 October 1915 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 2nd Field Artillery Brigade |
| Fate | Returned to Australia 11 January 1918 |
