| Regimental number | 6540 |
| Place of birth | Winnipeg Canada |
| Religion | Presbyterian |
| Occupation | Waiter |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs F M Cushney, 16 Sir John Young Crescent, East Sydney, New South Wales |
| Enlistment date | 19 January 1917 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/34/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Battalion |
| Fate | Returned to Australia 11 December 1918 |
