| Regimental number | 52092 |
| Place of birth | Beverley Western Australia |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Greenhills, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Brother, T Otway, Westdale via Beverley, Western Australia |
| Enlistment date | 18 October 1917 |
| Date of enlistment from Nominal Roll | 10 October 1917 |
| Rank on enlistment | Private |
| Unit name | Western Australian Reinforcement 1 |
| AWM Embarkation Roll number | 23/111/2 |
| Embarkation details | Unit embarked from Albany, Western Australia, on board SS Port Darwin on 8 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 28th Battalion |
| Fate | Returned to Australia 12 July 1919 |
