| Regimental number | 5406 |
| Place of birth | Mingenew Western Australia |
| Religion | Methodist |
| Occupation | Slaughterman |
| Address | Geraldton, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Uncle, Mr J G Herbert, C/o W F Boyd, Mount Hawthorn, Western Australia |
| Enlistment date | 2 February 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on 17 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 1 June 1919 |
