
| Religion | Church of England |
| Occupation | Medical practitioner |
| Address | St Kilda, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs R M Bennett, c/o May Montague Hall, 'The Red House', Early, near Reading, England |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Medical Officers |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |