| Regimental number | 4104 |
| Place of birth | Moonee Ponds Victoria |
| Religion | Presbyterian |
| Occupation | Tailor |
| Address | 9 Wordsworth Street, Moonee Ponds, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, A Gentles, 9 Wordsworth Street, Moonee Ponds, Victoria |
| Enlistment date | 14 May 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Field Ambulance, Reinforcement 7 |
| AWM Embarkation Roll number | 26/45/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A57 Malakuta on 22 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Field Ambulance |
| Fate | Returned to Australia 5 April 1919 |
