| Regimental number | 4546 |
| Place of birth | Collingwood Vic |
| Religion | Presbyterian |
| Occupation | Bootmaker |
| Address | 172 Holden Street, North Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Susan Henderson, 34 Hutton Street, Thornbury, Victoria |
| Enlistment date | 5 September 1916 |
| Rank on enlistment | Private |
| Unit name | 29th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/46/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 16 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 9 March 1919 |
