| Regimental number | 65942 |
| Place of birth | Sydney New South Wales |
| Religion | Congregational |
| Occupation | Salesman |
| Address | Randwick, New South Wales |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs A L Bushby, 'St Helena', Allison Road, Randwick, New South Wales |
| Enlistment date | 4 July 1918 |
| Rank on enlistment | Private |
| Unit name | 16th to 27th (NSW) Reinforcement |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A41 Bakara on 4 September 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Returned to Australia 22 July 1919 |