| Regimental number | 1133 |
| Place of birth | Gloucester England |
| Religion | Church of England |
| Occupation | Coal miner |
| Address | Bass Road, Undercliffe, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs J Bennett, Plump Hill, Mitcheldean Gloucestershire, England |
| Enlistment date | 1 March 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, D Company |
| AWM Embarkation Roll number | 23/34/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A32 Themistocles on 12 May 1915 |
| Fate | No details of fate entered on Nominal Roll |
