| Regimental number | 18634 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Warehouseman |
| Address | Waverley, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E M Bent, 74 Bondi Road, Waverley, New South Wales |
| Enlistment date | 7 May 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 9 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 28 August 1919 |
