| Regimental number | 20552 |
| Place of birth | Geelong Vic |
| Religion | Methodist |
| Occupation | Modeller |
| Address | Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs O G P Henderson, 177 Tynte Street, North Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | General Reinforcements, Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
