| Regimental number | 53968 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Greendale Jeir via Yass, Federal Territory |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Step-Sister, Miss Alice Bush, Greendale Jeir via Yass, Federal Territory |
| Enlistment date | 1 March 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | ABD |
| Fate | Returned to Australia 20 July 1919 |
