| Regimental number | 3296 |
| Place of birth | Newtown New South Wales |
| Religion | Church of England |
| Occupation | Traveller |
| Address | 50 Victoria Street, Rozelle, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs B Dennis, Victoria Street, Rozelle, New South Wales |
| Enlistment date | 12 August 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A17 Port Lincoln on 13 October 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 25 January 1919 |
