| Regimental number | 5936 |
| Place of birth | Fremantle Western Australia |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Guildford, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Margaret Elizabeth Walsh, Ethel Street, Guildford, Western Australia |
| Enlistment date | 29 May 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A16 Port Melbourne on 30 October 1916 |
| Regimental number from Nominal Roll | 5936A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia 1 June 1919 |
