| Place of birth | Salop England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Cymingham South, Tasmania |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs alice Isabella Burnaby, Cymingham South, Tasmania |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | 26th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/43/2 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT Ballarat on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
