| Regimental number | 3075 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Coal miner |
| Address | Wittmoon Street, East Collie, Western Australia |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs E B Henderson, Wittmoon Street, East Collie, Western Australia |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A32 Themistocles on 13 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Artillery Details |
| Fate | Returned to Australia 17 March 1917 |
