| Regimental number | 5036 |
| Place of birth | Armidale New South Wales |
| Religion | Church of England |
| Occupation | Car driver |
| Address | Armidale, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs F Bennett, Eungai Creek, Macleay River, New South Wales |
| Enlistment date | 20 September 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 5 July 1919 |
