
| Regimental number | 4569 |
| Religion | Presbyterian |
| Occupation | Boilermaker |
| Address | Broadmeadows, Victoria |
| Marital status | Widower |
| Age at embarkation | 36 |
| Next of kin | Eric Henderson, 82 Merton Street, Albert Park, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Acting Sergeant |
| Unit name | 21st Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on |
| Fate | No details of fate entered on Nominal Roll |