| Regimental number | 6632 |
| Place of birth | Melbourne Vic |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | 44 Westgarth Street, Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, L J Henry, 44 Westgarth Street, Northcote, Victoria |
| Enlistment date | 12 June 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 |
| Fate | No details of fate entered on Nominal Roll |