| Regimental number | 9833 |
| Place of birth | Geraldton, Western Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 80 Railway Parade, West Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs O M Burns, 80 Railway Parade, West Perth, Western Australia |
| Enlistment date | 3 January 1916 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 16 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A9 Shropshire on 31 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia 22 February 1917 |
