| Regimental number | 3718 |
| Place of birth | Wellington New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 356 Elizabeth Street, Zetland, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, M Busch, 356 Elizabeth Street, Zetland, New South Wales |
| Enlistment date | 27 September 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| 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 | 2nd Battalion |
| Fate | Returned to Australia 20 April 1919 |
