| Regimental number | 4423 |
| Place of birth | Swansea Wales |
| Religion | Church of England |
| Occupation | Glass fireman |
| Address | 14 New Street, Alexandria, New South Wales |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs M A Haeney, 14 New Street, Alexandria, New South Wales |
| Enlistment date | 9 December 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Auxiliary Hospital |
| Fate | Returned to Australia 23 May 1917 |
