| Regimental number | 6527 |
| Place of birth | St Marys New South Wales |
| Religion | Church of England |
| Occupation | Tinsmith |
| Address | North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs S E Bush, 105 Walker Street, North Sydney, New South Wales |
| Enlistment date | 19/17/1916 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/36/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Fate | No details of fate entered on Nominal Roll |
