| Regimental number | 12248 |
| Place of birth | Hamilton Vic |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | Brunswick, Victoria |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs S. Henderson, 11 Eveline Street, Brunswick, Victoria |
| Enlistment date | 17 April 1916 |
| Rank on enlistment | MT DVR |
| Unit name | Supply Column 3, Mechanical Transport Reinforcement 1 |
| AWM Embarkation Roll number | 25/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 3 June 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Motor Transport Section |
| Fate | Returned to Australia 9 July 1919 |