| Regimental number | 62857 |
| Place of birth | Ballarat Victoria |
| Religion | Methodist |
| Occupation | Cleaner |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs M D Rew, 170 Hopkins Street, Boulder, Western Australia |
| Enlistment date | 1 July 1918 |
| Rank on enlistment | Private |
| Unit name | Western Australian Reinforcement 3 |
| AWM Embarkation Roll number | 23/111/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT Boonah on 29 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
