| Regimental number | 5137 |
| Place of birth | Richmond, Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | 6 Little Lennox Street, Richmond, Victoria |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs Rene Bourne, 6 Little Lennox Street, Richmond, Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Company, Australian Army Service Corps |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Victorian Garden of Remembrance |
| Date of death |