| Regimental number | 3383 |
| Religion | Methodist |
| Occupation | Wheelwright |
| Address | Narracoorte, South Australia |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Father, W Henze, Narracoorte, South Australia |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | 6th Field Company Engineers |
| AWM Embarkation Roll number | 14/25/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Fate | No details of fate entered on Nominal Roll |