| Regimental number | 4049 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Bricklayer |
| Address | 10 Boundary Street, Paddington, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Emma D. Bennell, 10 Boundary Street, Paddington, Sydney, New South Wales |
| Enlistment date | 24 January 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 16 June 1917 |