| Regimental number | 1829 |
| Religion | Church of England |
| Occupation | Dental mechanic |
| Address | 8 Rowena Parade, Richmond, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Violet Bushell, 8 Rowena Parade, Richmond, Victoria |
| Enlistment date | 12 May 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Pioneer Battalion, Reinforcement 2 |
| AWM Embarkation Roll number | 14/15/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 27 September 1917 |
