| Regimental number | 4710 |
| Place of birth | Adelaide, South Australia |
| Religion | Congregational |
| Occupation | Clerk |
| Address | Elizabeth Street, Norwood, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Eva Bertram, Elizabeth Street, Norwood, South Australia |
| Enlistment date | 5 May 1915 |
| Rank on enlistment | Private |
| Unit name | Australian General Hospital 3, Reinforcement 1 |
| AWM Embarkation Roll number | 26/67/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on 15 June 1915 |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 3 March 1919 |
