| Regimental number | 4145 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Canister |
| Address | Surry Hills, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M Hendricks, 2 Jesson Street, Surry Hills, Sydney, New South Wales |
| Enlistment date | 12 November 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 19 June 1919 |