| Regimental number | 1735 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Clerk |
| Address | c/o Mrs W Bushby, Brown Street, New Farm, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Grandparent, Mrs S Mutch c/o Mrs W Bushby, Brown Street, New Farm, Brisbane, Queensland |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
