| Regimental number | 9669 |
| Place of birth | Hamilton Vic |
| Religion | Presbyterian |
| Occupation | Railway shunter |
| Address | Redfern, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Annie Eliz Henry, 1 Forbes Street, Redfern, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 8, Reinforcement 3 |
| AWM Embarkation Roll number | 26/51/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on |
| Regimental number from Nominal Roll | 9069 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
