| Regimental number | 2134 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Yardman and Cellarman |
| Address | James Street, Valley, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Mother, Mrs Elizabeth Mary Bush, 19 Oakdale Road, Waterloo, Liverpool, England |
| Enlistment date | 13 March 1916 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A42 Boorara on 16 August 1916 |
| Regimental number from Nominal Roll | 2134A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 12 May 1919 |
