| Regimental number | 4720 |
| Place of birth | Brisbane Qld |
| Religion | Church of England |
| Occupation | Stockman |
| Address | Georgetown, Queensland |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Theresa Henry, Georgetown, Queensland |
| Enlistment date | 4 October 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 12 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 21 July 1917 |