| Regimental number | 3103 |
| Place of birth | Gloustershire England |
| Religion | Church of England |
| Occupation | Carter |
| Address | c/o J Palmer, Gordon Road, Chatswood, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A Hendy, Catherine Hill, 0lveston Tockington Glos, England |
| Enlistment date | 25 July 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 27 August 1917 |
