| Regimental number | 5691 |
| Place of birth | Benambra Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Benambra, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs F M West, Benambra, Victoria |
| Enlistment date | 3 April 1916 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/41/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |