| Regimental number | 6182 |
| Place of birth | Woolwich England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | 157 Marion Street, Leichhardt, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Phyllis Bush, 157 Marion Street, Leichhardt, Sydney, New South Wales |
| Enlistment date | 27 November 1915 |
| Rank on enlistment | Sapper |
| Unit name | 4th Field Company Engineers, Reinforcement 3 |
| AWM Embarkation Roll number | 14/23/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 15th Field Company Engineers |
| Fate | Returned to Australia 10 January 1918 |
