| Regimental number | 6619 |
| Place of birth | Parramatta New South Wales |
| Religion | Church of England |
| Occupation | Bridge carpenter |
| Address | Newcastle, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs H Kentwell, 363 Crown Street, Surry Hills, New South Wales |
| Enlistment date | 12 December 1916 |
| Date of enlistment from Nominal Roll | 11 December 1916 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/37/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Returned to Australia 10 January 1918 |
