| Regimental number | 10077 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Hospital attendant |
| Address | Gladesville, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Ada Howard Elizabeth Bennett, Raven Street, Gladesville, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 8, Reinforcement 5 |
| AWM Embarkation Roll number | 26/51/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
