| Regimental number | 2110 |
| Religion | Church of England |
| Occupation | Carter |
| Address | Bellingen, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs. Charlotte Jane Burnwein, Bellingen, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 4th Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
