| Regimental number | 3692 |
| Place of birth | Woking England |
| Religion | Church of England |
| Occupation | Painter |
| Address | 21 Napier Street, Paddington, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs E Bedford, 17 Rathmore Road, Charlton, London, SE, England |
| Enlistment date | 10 August 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 | Returned to Australia 15 September 1918 |