| Regimental number | 4786 |
| Place of birth | Kelso New South Wales |
| Religion | Church of England |
| Address | 197 Underwood Street, Paddington, Sydney, New South Wales |
| Marital status | Married |
| Next of kin | Wife, Mrs R Dennis, 197 Underwood Street, Paddington, Sydney, New South Wales |
| Enlistment date | 29 January 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 13 April 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 4 June 1919 |
