| Regimental number | 21287 |
| Place of birth | Laidley Queensland |
| Religion | Roman Catholic |
| Occupation | Plumber |
| Address | James Street, Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Elizabeth Bourne, James Street, Toowoomba, Queensland |
| Enlistment date | 13 August 1917 |
| Rank on enlistment | Sapper |
| Unit name | 1st Field Squadron Engineers, November 1917 Reinforcements |
| AWM Embarkation Roll number | 14/36/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Ormonde on 2 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Engineers Details |
| Fate | Returned to Australia 14 March 1919 |