| Regimental number | 1300 |
| Place of birth | Mount Hope New South Wales |
| Religion | Church of England |
| Occupation | Well Borer |
| Address | Church Street, Boonah, Queensland |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Father, J W Bosanko, Church Street, Boonah, Queensland |
| Enlistment date | 3 May 1918 |
| Rank on enlistment | Private |
| Unit name | Australian Naval and Military Expeditionary Force, Army Medical Corps |
| AWM Embarkation Roll number | 23/112/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Melusia on 13 June 1918 |
| Fate | No details of fate entered on Nominal Roll |
