| Regimental number | 6936A |
| Place of birth | Ballarat, Victoria |
| Religion | Salvation Army |
| Occupation | Motor driver |
| Address | Geelong West, Victoria |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs M D Burns, 5 Fair Street, Geelong West, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/38/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |