| Regimental number | 4103 |
| Place of birth | Darlington New South Wales |
| Religion | Church of England |
| Occupation | Dental assistant |
| Address | 10 Grose Street, Glebe, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs F Dent, 10 Grose Street, Glebe, New South Wales |
| Enlistment date | 6 December 1915 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/35/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on 8 March 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Fate | Returned to Australia 15 April 1919 |