| Regimental number | 15510 |
| Place of birth | Frome England |
| Religion | Church of England |
| Occupation | Grocer |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister-in-Law, Mrs N Bendy, 148 York Street, Sydney, New South Wales |
| Enlistment date | 28 December 1915 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Effective abroad (still overseas) |