| Regimental number | 1901 |
| Place of birth | Campbelltown New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | Fagen Street, Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Sister, Mrs Eva Henry, Fagen Street, Marrickville, New South Wales |
| Enlistment date | 3 February 1916 |
| Rank on enlistment | Private |
| Unit name | 59th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/76/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 10 June 1919 |
