| Regimental number | 5426 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Cook |
| Address | Mungindi, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs H Henry, Wellington, New South Wales |
| Enlistment date | 16 November 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Depot Unit of Supply |
| Fate | Effective abroad (still overseas) |