
| Regimental number | 5200A |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Evansdale Road, Hawthorn, Victoria |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Fanny Burns, Evansdale Road, Hawthorn, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Light Horse Brigade Train 3 |
| AWM Embarkation Roll number | 25/100/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A51 Chilka on |
| Fate | No details of fate entered on Nominal Roll |