| Regimental number | 4058 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Wharf labourer |
| Address | 114 Nelson Street, Annandale, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Lily May Benton, 114 Nelson Street, Annandale, Sydney, New South Wales |
| Enlistment date | |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Pioneer Battalion |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | No date of fate entered on Nominal Roll. |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |