| Regimental number | 5687 |
| Place of birth | Wombat New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Wombat via Young, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Jane West, Wombat via Young, New South Wales |
| Enlistment date | 15 March 1916 |
| Date of enlistment from Nominal Roll | 14 March 1916 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/35/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 9 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 18th Battalion |
| Fate | Returned to Australia 21 December 1917 |
