| Regimental number | 6787 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Cook |
| Address | Hamilton, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Brother, George Bosworth, Staffordshire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 24th Battalion 19th Reinforcement |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |