| Regimental number | 3167 |
| Place of birth | Blayney, New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | P.O., Millthorpe, via Orange, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs. L. Burrell, c/o H. Fettle, Spring Hill, near Millthorpe, New South Wales |
| Enlistment date | |
| Place of enlistment | Orange, New South Wales |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 25th Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Australian Mounted Divisional Train |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
