| Regimental number | 3128 |
| Place of birth | Joadja Creek New South Wales |
| Religion | Church of England |
| Occupation | Furnaceman |
| Address | Stockton, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Edith Florence Henderson, Hunter Street, Stockton, Newcastle, New South Wales |
| Enlistment date | 8 July 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 14/13/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |