| Regimental number | 132 |
| Place of birth | Adelaide, South Australia |
| Religion | Protestant |
| Occupation | Clerk |
| Address | c/o J Bourne, 31 Frederick Street, Maylands, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, - Bourne, 31 Frederick Street, Maylands, South Australia |
| Previous military service | 19th Australian Army Medical Corps |
| Enlistment date | 21 August 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, B Squadron |
| AWM Embarkation Roll number | 26/46/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board Transport A7 Medic on 20 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Ambulance |
| Fate | Returned to Australia 21 December 1917 |
