| Regimental number | 5682 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Esther Mensforth, 13 Gray Street, Adelaide, South Australia |
| Enlistment date | 11 May 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 28 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 4 December 1918 |