| Regimental number | 3353 |
| Place of birth | Langport, England |
| Religion | Church of England |
| Occupation | Motor mechanic |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Eliza Bartlett, Huish Episcopi, Langford, Somerset, England |
| Enlistment date | 27 March 1917 |
| Date of enlistment from Nominal Roll | 27 March 1917 |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 28th Reinforcement |
| AWM Embarkation Roll number | 10/15/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A15 Port Sydney on 22 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia 26 January 1919 |
| Other details | Medals: British War Medal, Victory Medal |
| Miscellaneous details | Next of kin address incorrectly entered on Embarkation roll as Haish Cpiscapi, Langford, Somerset, England. |
