| Regimental number | 5682 |
| Place of birth | Ivybridge England |
| Religion | Church of England |
| Occupation | Chef |
| Address | Mitchell Street, Putney, Ryde, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs. M.A. Henwood, Mitchell Street, Putney, Ryde, New South Wales |
| Enlistment date | 17 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Convalescent Depot |
| Fate | Returned to Australia 2 March 1919 |
