| Regimental number | 3407 |
| Place of birth | Middle Brighton Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | Brighton, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Sarah Lush, 17 Lawrence Street, Brighton, Victoria |
| Enlistment date | 2 May 1917 |
| Date of enlistment from Nominal Roll | 25 April 1917 |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/75/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on 16 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 8 September 1919 |
