| Regimental number | 1623 |
| Place of birth | Blackburn England |
| Religion | Roman Catholic |
| Occupation | Teamster |
| Address | Wyndham, Western Australia |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Thomas Bury, Warrington, Lancashire, England |
| Enlistment date | 20 May 1915 |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A2 Geelong on 5 June 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
