| Regimental number | 4613 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Bank clerk |
| Address | 413 Argent Street, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs J Dennis, 413 Argent Street, Broken Hill, New South Wales |
| Enlistment date | 30 August 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on 7 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 9 March 1919 |
