| Regimental number | 15611 |
| Place of birth | Wycombe England |
| Religion | Church of England |
| Occupation | Cook |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Sarah Fenn, Hazelwood Street, Paddington, Queensland |
| Enlistment date | 29 December 1915 |
| Rank on enlistment | Driver |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 31 October 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Field Company Engineers |
| Fate | Returned to Australia 12 May 1919 |
