| Regimental number | 5040 |
| Place of birth | St Kilda, Victoria |
| Religion | Congregational |
| Occupation | Salesman |
| Address | 200 Barkly Street, St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs S Busby, 200 Barkly Street, St Kilda, Victoria |
| Enlistment date | 17 August 1915 |
| Date of enlistment from Nominal Roll | 1 September 1915 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 13 April 1919 |
