| Regimental number | 171 |
| Place of birth | Deal England |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | 53 Pascoe Vale Road, Moonee Ponds, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Haynes, 54 Pascoe Vale Road, Moonee Ponds, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, A Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Regimental number from Nominal Roll | 4415 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Field Company Engineers |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
