| Regimental number | 3497 |
| Place of birth | Northam Western Australia |
| Religion | Church of England |
| Occupation | Farrier |
| Address | Peel Terrace, Northern, Western Australia |
| Marital status | Married |
| Age at embarkation | 45 |
| Next of kin | Wife, Mrs Johanna Western, Peel Terrace, Northern, Western Australia |
| Enlistment date | 14 May 1917 |
| Date of enlistment from Nominal Roll | 12 May 1917 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 30th Reinforcement |
| AWM Embarkation Roll number | 10/15/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A55 Kyarra on 17 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia 10 July 1919 |
