| Regimental number | 2719 |
| Place of birth | Cornwall England |
| Religion | Church of England |
| Occupation | Striker |
| Address | 38 Bent Street, North Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs A M M Jewell, 38 Bent Street, North Perth, Western Australia |
| Enlistment date | 18 October 1917 |
| Rank on enlistment | Private |
| Unit name | February 1918 Reinforcements |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Ormonde on 13 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Broad Gauge Railway Operating Company |
| Fate | Returned to Australia 1 July 1919 |