| Regimental number | 1123 |
| Place of birth | Australia |
| Religion | Methodist |
| Occupation | Labourer |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Brother, James Bavistock, Alberton, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, G Company |
| AWM Embarkation Roll number | 23/33/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
