| Regimental number | 4367 |
| Place of birth | Warrnambool, Victoria |
| Religion | Church of England |
| Occupation | Carbuilder |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Mother, Mrs Rosa Bensley, 103 Kerferd Road, Albert Park Gippsland, Victoria |
| Enlistment date | 8 January 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 29 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 13 February 1917 |