| Regimental number | 3765 |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | Forrestville, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mrs E Henley, Semaphore Road, Exeter, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/27/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Malwa on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Company, Australian Army Service Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
