| Regimental number | 55155 |
| Place of birth | Cooktown Qld |
| Religion | Church of England |
| Occupation | Mattress maker |
| Address | 125 Barkly Street, Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs S Henderson, 125 Barkly Street, Carlton, Victoria |
| Enlistment date | 26 March 1918 |
| Rank on enlistment | Private |
| Unit name | 5th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 10 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Service Corps Details |
| Fate | Returned to Australia 18 January 1919 |
