| Regimental number | 4734 |
| Place of birth | Broken Hill New South Wales |
| Religion | Congregational |
| Occupation | Electrician |
| Address | Water Street, Gawler South, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs R A C Bentley, Gawler, South Australia |
| Enlistment date | 16 October 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 18 July 1919 |
