| Regimental number | 12 |
| Place of birth | Essex, England |
| Religion | Church of England |
| Occupation | Timber hand |
| Address | 163 Cambridge Street, Leederville, Western Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Ann Bush, 163 Cambridge Street, Leederville, Western Australia |
| Enlistment date | |
| Place of enlistment | Helena Vale, Western Australia |
| Rank on enlistment | Colour SGT |
| Unit name | 16th Battalion, C Company |
| AWM Embarkation Roll number | 23/33/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | 48th Battalion |
| Recommendations (Medals and Awards) |
Unspecified Recommendation date: |
| Fate | Returned to Australia |