| Regimental number | 4011 |
| Place of birth | Hastings England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 24 Cavendish Street, Enmore, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, A J Brackpool, 49 Alma Villas Silver Hill, St Leonards on Sea, Sussex, England |
| Enlistment date | 17 September 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Effective abroad (still overseas) |
