| Regimental number | 1364 |
| Place of birth | Brighton, Victoria |
| Religion | Church of England |
| Occupation | Timber hewer |
| Address | Rooding Street, Brighton, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Jane Burke, Rooding Street, Brighton, Victoria |
| Enlistment date | 22 September 1914 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Section C |
| AWM Embarkation Roll number | 26/47/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A31 Ajana on 30 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia 8 May 1916 |
