| Place of birth | Ballarat Vic |
| Occupation | Soldier |
| Address | 101 Park Street, St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs May Henley, 101 Park Street, St Kilda, Victoria |
| Previous military service | A and I Staff |
| Enlistment date | |
| Rank on enlistment | HON LT (QM) |
| Unit name | 3rd Australian Casualty Clearing Station |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
