| Regimental number | 4736 |
| Place of birth | Coolah New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Coolah, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs E Burdett, Coolah, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/18/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star Of England on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |