| Regimental number | 14615 |
| Place of birth | Northcote Victoria |
| Religion | Roman Catholic |
| Occupation | Porter, S A R |
| Address | Torrensville, South Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs J M T Lush, 28 Northcote Street, Torrensville, South Australia |
| Enlistment date | 7 December 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, July 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A70 Ballarat on 12 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 15 April 1918 |
