| Regimental number | 3958 |
| Place of birth | Launceston Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Mrs W Bennett, New Farm, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, Mrs Louisa Jane Heron, 11 Garfield Street, North Richmond, Victoria |
| Enlistment date | 5 June 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 10 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 13 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Corps |
| Fate | Returned to Australia 19 April 1919 |
