| Regimental number | 4472 |
| Place of birth | Gunnedah New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Hillside, Blackjack via Gunnedah, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A Bush, Hillside, Blackjack via Gunnedah, New South Wales |
| Enlistment date | 10 November 1917 |
| Rank on enlistment | Private |
| Unit name | Light Horse, February 1918 Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 13 March 1919 |
