| Regimental number | 4556 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Second Street, Island, Port Pirie, South Australia |
| Marital status | Single |
| Age at embarkation | 45 |
| Next of kin | Cousin, William John Henderson, Second Street, Island, Port Pirie, South Australia |
| Enlistment date | 3 January 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on 25 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
