| Regimental number | 4504 |
| Place of birth | Black Mountain New South Wales |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Rocky Glen, Wellingrove, via Glen Innes, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W Haynes, Rocky Glen, Wellingrove, via Glen Innes, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Northern Suburbs Crematorium |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
