| Regimental number | 77 |
| Place of birth | Clermont, Queensland |
| Religion | Church of England |
| Occupation | Shearer |
| Address | Charters Towers, Queensland |
| Marital status | Single |
| Age at embarkation | 40 |
| Height | 5' 6.5" |
| Weight | 149 lbs |
| Next of kin | Grandparent, Mrs Grace Bennett, c/o Mrs O Price, Townsville Road, Charters Towers, Queensland |
| Previous military service | Previously rejected as unfit; |
| Enlistment date | 23 September 1915 |
| Place of enlistment | Townsville, Queensland |
| Rank on enlistment | Sapper |
| Unit name | Mining Corps 1, Company 1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 20 February 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Tunnelling Company |
| Fate | Returned to Australia 25 August 1917 |
| Discharge date | 26 October 1917 |
| Other details | Medals: British War Medal, Victory Medal |
| Sources | NAA: B2455, CHARDIVONE Henry |
