| Regimental number | 2566 |
| Place of birth | Hobart, Tasmania |
| Religion | Church of England |
| Occupation | Bushman |
| Address | c/o T Ward, 42 Deargevan Street, Glebe, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Mrs Mary West, 11 Loch Street, Coburg, Melbourne, Victoria |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| 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 | 30th Battalion |
| Fate | Returned to Australia 7 June 1918 |