| Regimental number | 3768 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Gasfitter |
| Address | 23 Brown Street, Camperdown, New South Wales |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs E Burden, 23 Brown Street, Camperdown, New South Wales |
| Enlistment date | 28 October 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 10 July 1916 |
