| Regimental number | 3406 |
| Place of birth | Newcastle New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | East Maitland, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Emily Bourke, Raymond Terrace Road, East Maitland, New South Wales |
| Enlistment date | 9 April 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 29th Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 September 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 13 March 1919 |
