| Regimental number | 289 |
| Religion | Roman Catholic |
| Occupation | Bushman |
| Address | Kwotlyim via Kellerberrin, Western Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mrs Marie Henderson, Kwotlyim via Kellerberrin, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/15/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A47 Mashobra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
