| Regimental number | 4700 |
| Place of birth | Goulburn New South Wales |
| Religion | Church of England |
| Occupation | Chauffeur |
| Address | 141 Alfred Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs R Henderson, 141 alfred Street, North Sydney, New South Wales |
| Enlistment date | 20 October 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 14 December 1918 |
