| Regimental number | 3379 |
| Place of birth | Gympie Queensland |
| Religion | Church of England |
| Occupation | Barman |
| Address | Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Jean Gorden Bushell, Ferguson Street, Gympie, Queensland |
| Enlistment date | 15 January 1917 |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/67/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A48 Seang Bee on 10 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 9 March 1919 |