| Regimental number | 565 |
| Occupation | Clerk |
| Address | 69 Ourimbah Street, Mosman, New South Wales |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mrs L C Henry, Cambelego, Boppy Mountain, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sergeant |
| Unit name | Naval and Military Expeditionary Force, G Company |
| AWM Embarkation Roll number | 23/112/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |