| Regimental number | 4748 |
| Place of birth | Bendigo, Victoria |
| Religion | Methodist |
| Occupation | Miner |
| Address | Sailors Gully Road, Eaglehawk, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M H Bentley, Sailors Gully Road, Eaglehawk, Victoria |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Returned to Australia 15 July 1917 |
