| Regimental number | 6264 |
| Place of birth | Bunbury Western Australia |
| Religion | Church of England |
| Occupation | Bank clerk |
| Address | c/o H C Davies, Narrogin |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Cousin, Bertha Bennett, Blackwood Road, Bunbury, Western Australia |
| Enlistment date | 7 August 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Stationary Hospital 2, Reinforcement 11 |
| AWM Embarkation Roll number | 26/71/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A34 Benalla on 1 November 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 4th Infantry Brigade Headquarters |
| Fate | Effective abroad (still overseas) |
