| Regimental number | 4976 |
| Place of birth | Cobar, New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o R Butter, Narromine, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Height | 5' 8" |
| Weight | 140 lbs |
| Next of kin | Mother, Mrs E Bennett, c/o Mrs R Butter, Narromine, New South Wales |
| Previous military service | Nil |
| Enlistment date | 17 January 1916 |
| Date of enlistment from Nominal Roll | 17 January 1916 |
| Place of enlistment | Parkes, New South Wales |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 5 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | INF17REIN13 |
| Fate | Returned to Australia 22 January 1920 |
| Discharge date | 24 August 1920 |
| Other details | Medals: British War Medal, Victory Medal |