| Regimental number | 803 |
| Place of birth | Bendigo Vic |
| Religion | Church of England |
| Occupation | Miner |
| Address | 284 George Street, Rockhampton, Queensland |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs F L Henderson, 284 George Street, Rockhampton, Queensland |
| Enlistment date | 28 April 1917 |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 13, Reinforcement 15 |
| AWM Embarkation Roll number | 24/18/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Regimental number from Nominal Roll | 803B |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Machine Gun Battalion |
| Fate | Returned to Australia 9 February 1919 |