| Regimental number | 5786 |
| Place of birth | London, England |
| Religion | Church of England |
| Occupation | Moulder |
| Address | 'Eastham', Cumberland Road, Auburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs. Louisa Sara Bush, 'Eastham,' Cumberland Road, Auburn, New South Wales |
| Enlistment date | |
| Place of enlistment | Casula, New South Wales |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 1, Reinforcement 14 |
| AWM Embarkation Roll number | 22/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Divisional Signal Company |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
