| Regimental number | 50644 |
| Religion | Methodist |
| Occupation | Salesman |
| Address | Challinor Street, West Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E Henry, Challinor Street, West Ipswich, Queensland |
| Enlistment date | 4 February 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 1 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Fate | No details of fate entered on Nominal Roll |