| Regimental number | 4017 |
| Religion | Church of England |
| Occupation | Baker |
| Address | South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs Elizabeth Hendy, 10 Tichbourne place, South Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 31st Reinforcement |
| AWM Embarkation Roll number | 10/9/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Ormonde on |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Miscellaneous details (Nominal Roll) | see other |
| Date of death | |
| Place of burial | Springvale Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
