| Regimental number | 3611 |
| Place of birth | Lambton New South Wales |
| Religion | Roman Catholic |
| Occupation | Machinist |
| Address | Roy Street, Lithgow, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Elizabeth Henderson, 34 Ashmore Street, Erskineville, New South Wales |
| Enlistment date | 21 February 1916 |
| Rank on enlistment | Corporal |
| Unit name | Tunnelling Company 4, Headquarters 1 |
| AWM Embarkation Roll number | 16/10/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia 23 September 1918 |
