| Regimental number | 5112 |
| Place of birth | Ightham England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Mr W Hendry, Elliot Street, Bunbury, Western Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Mrs E Whiberby, 31 Palmeira Road, Bexley Heath, Kent, England |
| Enlistment date | 26 January 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
