| Regimental number | 4017 |
| Place of birth | Somersetshire England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Mrs. Bennett, Gregory Street, Northward, Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs. Augusta Bennett, 185 High Street, Harlesden, London, England |
| Enlistment date | 3 July 1916 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/48/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Returned to Australia 30 June 1918 |
