| Regimental number | 2764 |
| Place of birth | Adelaide South Australia |
| Religion | Methodist |
| Occupation | Clerk |
| Address | 46 Miller Street, North Unley, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Lily Ada Henderson, 46 Miller Street, North Unley, South Australia |
| Previous military service | 74th Infantry |
| Enlistment date | 8 April 1916 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A35 Berrima on 16 December 1916 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | Australian Army Pay Corps |
| Fate | Returned to Australia 6 September 1919 |
