| Regimental number | 14565 |
| Place of birth | Mordialloc Vic |
| Religion | Presbyterian |
| Occupation | Carpenter |
| Address | North Fitzroy, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, A Henderson, Pontianach, Borneo |
| Enlistment date | 28 July 1915 |
| Date of enlistment from Nominal Roll | 5 August 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, July 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on 5 August 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia No details enetered on Nominal |
