| Regimental number | 11920 |
| Place of birth | Erskineville New South Wales |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | Leichhardt, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Elsie Jane Burnside, 67 Burfitt Street, Leichardt, New South Wales |
| Enlistment date | 28 July 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 9, Section A |
| AWM Embarkation Roll number | 26/52/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Fate | Returned to Australia 19 April 1919 |
| Miscellaneous details (Nominal Roll) | 6th Broad Gauge Railway |
| Date of death | 10 November 1936 |
| Place of burial | Rookwood Necropolis |