| Regimental number | 5975 |
| Place of birth | Beaufort, Victoria |
| Religion | Methodist |
| Occupation | Miner |
| Address | 404 Raglan Street, South Ballarat, Victoria |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs C Bartlett, 404 Raglan Street, South Ballarat, Victoria |
| Enlistment date | 20 March 1916 |
| Date of enlistment from Nominal Roll | 20 March 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 12 May 1919 |
