| Regimental number | 583 |
| Place of birth | Melbourne Vic |
| Religion | Church of England |
| Occupation | Dentist |
| Address | 'Westland House', 86 Fitzgibbon Street, Parkville, Victoria |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Sister, Miss Ruby Henderson, 'Westland House', 86 Fitzgibbon Street, Parkville, Victoria |
| Enlistment date | 7 March 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, B Company |
| AWM Embarkation Roll number | 23/37/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on 25 June 1915 |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Army Medical Corps Dental Corps |
| Fate | Returned to Australia 10 April 1919 |
