| Regimental number | 2637 |
| Place of birth | Parkside South Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Torrensville, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs. Priscilla Henderson, Clifford Street, Torrensville, South Australia |
| Enlistment date | 29 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 19th Reinforcement |
| AWM Embarkation Roll number | 10/8/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 13 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Machine Gun Squadron |
| Fate | Returned to Australia 29 April 1919 |
