| Regimental number | 3049 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 24 Dover Street, North Williamstown, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, A Bush, 24 Dover Street, North Williamstown, Victoria |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on 29 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Division Salvage Company |
| Fate | Returned to Australia 12 April 1919 |
| Date of death | 22 July 1946 |
| Place of burial | Dromana Cemetery |
