| Regimental number | 3138 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Wireworker |
| Address | Lord Street, West Guildford, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Mabel Haines, Lord Street, West Guildford, Western Australia |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A32 Themistocles on 13 October 1915 |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia 31 December 1918 |
| Miscellaneous details (Nominal Roll) | 16th Bn |
