| Regimental number | 63225 |
| Place of birth | Goulburn New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Flinders Island, Tasmania |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs L Henwood, 19 Wattle Valley Road, Canterbury, Melbourne, Victoria |
| Enlistment date | 17 June 1918 |
| Rank on enlistment | Private |
| Unit name | Tasmanian Reinforcement 3 |
| AWM Embarkation Roll number | 23/111/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Zealandic on 5 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 10 April 1919 |
