| Regimental number | 61362 |
| Place of birth | Manhattan USA |
| Religion | Church of England |
| Occupation | Traveller |
| Address | 19 Daisy Street, Essendon, Victoria |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs A Burgoyne, 19 Daisy Street, Essendon, Victoria |
| Enlistment date | 8 March 1918 |
| Rank on enlistment | Private |
| Unit name | 11th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 31 August 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Battalion |
| Fate | Returned to Australia 5 September 1919 |
