| Regimental number | 4706 |
| Place of birth | Melbourne Vic |
| Religion | Church of England |
| Occupation | Carter |
| Address | 32 Charles Street, Prahran, Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Lilian Beatrice Haynes, 32 Charles Street, Prahran, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
