| Place of birth | Allora Queensland |
| Religion | Church of England |
| Occupation | School teacher |
| Address | 'Bournville', Leichhardt Street, Valley, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs S A Bourne, 'Bournville', Leichhardt Street, Valley, Brisbane, Queensland |
| Previous military service | 9th Infantry |
| Enlistment date | 6 May 1918 |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | Queensland Reinforcement 4 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 7 February 1919 |