| Regimental number | 17525 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Kelvin Grove, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Brother, J Bourke, c/o Mrs Mowan, Moy Street, Kelvin Grove, Queensland |
| Enlistment date | 28 December 1916 |
| Rank on enlistment | Private |
| Unit name | May 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A28 Miltiades on 2 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 13 October 1918 |