| Regimental number | 30169 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Butcher |
| Address | 50 Bourke Street, West Maitland, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs E Burdett, Hyman Hill Road, Walthamstow, Essex, england |
| Enlistment date | 5 September 1916 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 1, Reinforcement 22 |
| AWM Embarkation Roll number | 13/29/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Returned to Australia 15 June 1919 |