| Regimental number | 7800 |
| Place of birth | Finchley England |
| Religion | Church of England |
| Occupation | State civil servant |
| Address | East Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, John William Henry, Midland Junction, Western Australia |
| Enlistment date | 19 June 1917 |
| Date of enlistment from Nominal Roll | 9 June 1917 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/33/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 1 August 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 21 January 1919 |
