| Regimental number | 2758 |
| Place of birth | Amsterdam Holland |
| Religion | Roman Catholic |
| Occupation | Tailor |
| Address | Eltham, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Sister, Mrs Lena Bridgwood, 79 Victoria Street, Darlinghurst, New South Wales |
| Enlistment date | 17 April 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/72/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 4 May 1917 |
| Miscellaneous details (Nominal Roll) | *Given name Kath Hendrick |
