| Regimental number | 4291 |
| Place of birth | Kent England |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Louisa Leta Bushell, 278 Newcastle Street, Perth, Western Australia |
| Enlistment date | 1 May 1916 |
| Rank on enlistment | Sapper |
| Unit name | No 6 Tunnelling Company |
| AWM Embarkation Roll number | 16/12/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A69 Warilda on 1 June 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | A.E.M.M.T. |
| Fate | Returned to Australia 1 June 1919 |
