
| Regimental number | 7613 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Soldier |
| Address | Victoria Barracks, Paddington, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs D M Bushby, c/o Ward House, Smith Street, Daylesford, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Warrant Officer (Class I) |
| Unit name | 1st Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/18/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on |
| Rank from Nominal Roll | Warrant Officer |
| Unit from Nominal Roll | 1st Battalion |
| Fate | Returned to Australia |
| Medals |
Meritorious Service Medal Source: 'Commonwealth Gazette' No. 75 Date: |
| Other details |
War service: Western Front Medals: Meritorious Service Medal, British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Kew Cemetery |