| Regimental number | 4562 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Ashton, Redman Avenue, Thirroul, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, O West, Ashton, Redman Avenue, Thirroul, New South Wales |
| Enlistment date | 3 January 1916 |
| Date of enlistment from Nominal Roll | 18 December 1916 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia 25 September 1919 |
| Miscellaneous details (Nominal Roll) | *Given name Jack Benjamin |
| Date of death | 21 December 1970 |
| Place of burial | Point Clare Cemetery |
