| Date of birth | |
| Religion | Methodist |
| Occupation | Manager |
| Address | Trevallyn, Launceston, Tasmania |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Emily Gertrude Haslam, Trevallyn, Launceston, Tasmania |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | 12th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | General List |
| Promotions |
Captain Unit: Comd Depots Promotion date: |
| Fate | Discharged |
| Medals |
OBE Source: 'Commonwealth Gazette' No. 30 Date: OBE (Civil) Source: 'Commonwealth Gazette' No. 67 Date: OBE (Military) Source: 'Commonwealth Gazette' No. 91 Date: |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
