| Regimental number | 10930 |
| Place of birth | Lancashire England |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Meredith Street, Homebush, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs Annie Bushell, Prescot Road, Aughton, Lancashire, England |
| Enlistment date | 4 April 1916 |
| Date of enlistment from Nominal Roll | 16 March 1916 |
| Rank on enlistment | Sapper |
| Unit name | 9th Field Company Engineers, Reinforcement 1 |
| AWM Embarkation Roll number | 14/28/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 5 July 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 15th Field Company Engineers |
| Fate | Returned to Australia 22 May 1919 |