| Regimental number | 12701 |
| Place of birth | Peterborough, South Australia |
| Religion | Church of England |
| Occupation | French polisher |
| Address | 48 Henry Street, Stepney, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs C Bushell, 48 Henry Street, Stepney, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Field Artillery Brigade |
| Fate | Effective abroad (still overseas) |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |