| Regimental number | 17584 |
| Religion | Church of England |
| Occupation | Hospital attendant |
| Address | c/o Asylum for Insane, Hawkesbury River, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Elizabeth Fenton, 51 Eleanor Road, South Woolwich, Kent, England |
| Enlistment date | 23 May 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, 28th Reinforcement |
| AWM Embarkation Roll number | 26/39/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on 11 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 25 September 1919 |