| Regimental number | 6587 |
| Place of birth | Grarenhurst Canada |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Koolanooka, Western Australia |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Friend, Mrs M West, Perth GPO, Perth, Western Australia |
| Enlistment date | 22 November 1916 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/45/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 29 January 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 25 January 1919 |
