| Regimental number | 12961 |
| Place of birth | Brisbane Queensland |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Ann Street, Kelvin Grove, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Sarah Cushing, Ann Street, Kelvin Grove, Brisbane, Queensland |
| Enlistment date | 29 November 1915 |
| Rank on enlistment | Private |
| Unit name | Sanitary Section 3 |
| AWM Embarkation Roll number | 26/78/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 18 May 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 16 June 1919 |
