| Regimental number | 6515 |
| Place of birth | Melbourne Vic |
| Religion | Roman Catholic |
| Occupation | Bootmaker |
| Address | 5 Shaftesbury Parade, Northcote, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs B A Henry C/o Mrs Bragg, 45 Otter Street, Collingwood, Victoria |
| Enlistment date | 5 February 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Division Headquarters |
| Fate | Returned to Australia 1 July 1919 |