| Regimental number | 804 |
| Religion | Church of England |
| Occupation | Tailor |
| Address | Charman Road, Cheltenham, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | ..., Mrs Frances Rosina Burnett, Charman Road, Cheltenham, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, D Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Regimental number from Nominal Roll | 4406 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 5th Field Company Engineers |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
