| Regimental number | 17425 |
| Place of birth | Warrnambool Vic |
| Religion | Church of England |
| Occupation | Advertisement writer |
| Address | North Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs M A Henstridge, 104 Hill Street, North Adelaide, South Australia |
| Enlistment date | 18 March 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, March 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia 12 May 1918 |
