| Regimental number | 6481 |
| Religion | Methodist |
| Occupation | School teacher |
| Address | Hamilton, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, J Burley, Cleary Street, Hamilton, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, 12th Reinforcement |
| Miscellaneous details (Nominal Roll) | see other |