| Regimental number | 3471 |
| Place of birth | Elmore, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Elmore, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Ida Ethel Burgoyne, Michie Street, Elmore, Victoria |
| Enlistment date | 29 May 1917 |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 30th Reinforcement |
| AWM Embarkation Roll number | 10/13/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on 2 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Light Horse Regiment |
| Fate | Returned to Australia 12 April 1919 |
