| Regimental number | 1666 |
| Place of birth | Taradale, Victoria |
| Religion | Church of England |
| Occupation | Hotel assistant |
| Address | Commercial Hotel, Mooroopna, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, R A Bazley, Commercial Hotel, Mooroopna, Victoria |
| Enlistment date | 4 January 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/23/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 19 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 16 February 1916 |
