| Regimental number | 1137 |
| Religion | Methodist |
| Occupation | Butcher |
| Address | c/o N. Bussell, 7 Avenue, Hyde Park, Lidcombe, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, c/o J J Page, 75 Hamilton Street, Albert Park, Melbourne, Victoria |
| Enlistment date | 6 September 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 22 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
