| Regimental number | 5396 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Hospital attendant |
| Address | Kenmore, via Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, T Kent, Elm Cottage, Uiverly Road, Olton, Birmingham, England |
| Enlistment date | 1 December 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Ceramic on 14 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 16 January 1919 |
