| Regimental number | 6926 |
| Place of birth | Toowoomba Queensland |
| Religion | Church of England |
| Occupation | Contractor |
| Address | Rangeville via Toowoomba, Queensland |
| Marital status | Widower |
| Age at embarkation | 43 |
| Next of kin | Mother, Mrs Elizabeth Busiko, Rangeville PO, Rangeville via Toowoomba, Queensland |
| Enlistment date | 9 April 1917 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/42/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Returned to Australia 1 November 1917 |
