| Regimental number | 6662 |
| Religion | Church of England |
| Occupation | Plumber |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs M Henley, 62-64 Queen Street, Brisbane, Queensland |
| Enlistment date | 2 January 1917 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/42/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |