| Regimental number | 6775 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Miner |
| Address | Carlton, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Olive Bussell, Parkville PO, Parkville, Victoria |
| Enlistment date | 7 February 1917 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/38/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 11 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Machine Gun Battalion |
| Fate | Returned to Australia 20 January 1919 |
