| Regimental number | 4011 |
| Place of birth | Armidale New South Wales |
| Religion | Church of England |
| Occupation | Packer |
| Address | Faulkner Street, Armidale, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, J Burton,Faulkner Street, Armidale, New South Wales |
| Enlistment date | 6 August 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 4 May 1917 |
| Miscellaneous details (Nominal Roll) | *Ruseell spelt Russell |
