| Regimental number | 16879 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Pump attentant |
| Address | Fairfield, New South Wales |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Claribel Rose Bartlem, The Grove, Fairfield, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian Camel Field Ambulance |
| AWM Embarkation Roll number | 26/60/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2rd LH Field Ambulance |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Woronora Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
