| Regimental number | 52109 |
| Place of birth | Coolgardie Western Australia |
| Religion | Roman Catholic |
| Occupation | Carter |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs K Sayers, 48 Dugan Street, Kalgoorlie, Western Australia |
| Previous military service | 84th Infantry |
| Enlistment date | 17 January 1918 |
| 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 25 September 1919 |