| Regimental number | 30689 |
| Place of birth | Queenstown South Australia |
| Religion | Church of England |
| Occupation | Commercial artist |
| Address | King William Street, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Sister, Mrs E H Bushell, Morgan Street, Hindmarsh, South Australia |
| Enlistment date | 21 August 1916 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 6, Reinforcement 11 |
| AWM Embarkation Roll number | 13/34/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Field Artillery Brigade |
| Fate | Returned to Australia 23 July 1918 |
