| Regimental number | 7789 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Turner and fitter |
| Address | Youanmi, Western Australia |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs N M Symons, C/ W West, East Chapman via Geraldton, Western Australia |
| Enlistment date | 8 March 1917 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/28/5 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 18 July 1919 |
