| Regimental number | 2630 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Cook |
| Address | Rabbit Island, Hawkesbury River, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Elizabeth Fenton, 51 Eleanor Road, Woolwich, Kent, England |
| Enlistment date | 19 September 1916 |
| Rank on enlistment | Private |
| Unit name | 37th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/54/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |