| Regimental number | 5077 |
| Place of birth | Waterloo New South Wales |
| Religion | Church of England |
| Occupation | Trolly driver |
| Address | Redcliffe, Coward Street, Mascot, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs M E Fenton, Redcliffe, Coward Street, Mascot, New South Wales |
| Enlistment date | 11 January 1916 |
| Date of enlistment from Nominal Roll | 14 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Makarini on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 17 March 1917 |
