| Regimental number | 1205 |
| Place of birth | Bromyard, England |
| Religion | Church of England |
| Occupation | Civil servant |
| Address | Melbourne Hotel, Perth |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Mrs E M Bentley-Taylor, 95 Stirling Street, Perth, Western Australia |
| Enlistment date | |
| Place of enlistment | Blackboy Hill, Western Australia |
| Rank on enlistment | Private |
| Unit name | Australian Stationary Hospital 2 |
| AWM Embarkation Roll number | 26/71/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A55 Kyarra on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Karrakatta Cemetery |