| Regimental number | 67183 |
| Place of birth | Bathurst New South Wales |
| Religion | Church of England |
| Occupation | Colliery overseer |
| Address | Adamstown, Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs J Henry, 'Hamilton', Sacksville Street, Bexley, Sydney, New South Wales |
| Enlistment date | 15 April 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 24 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Fate | No details of fate entered on Nominal Roll |
