| Regimental number | 16580 |
| Place of birth | West Hartlepool England |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Mrs Martha Benn, 177 Cooper Street, Grimsby, England |
| Enlistment date | 15 August 1916 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 22/17/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 1st Signal Squadron |
| Fate | Returned to Australia 12 June 1919 |
