| Regimental number | 412 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Stationer |
| Address | 85 Durham Street, Bathurst, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Edith Dennis, 85 Durham Street, Bathurst, New South Wales |
| Enlistment date | 4 May 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/17/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 13 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Light Horse Regiment |
| Fate | Returned to Australia 20 July 1919 |
