| Regimental number | 6043 |
| Place of birth | Garland New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Post Office, Millamong, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs F Henry, Post Office, Millamong, New South Wales |
| Enlistment date | 2 February 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Fate | No details of fate entered on Nominal Roll |
