| Regimental number | 5488 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Harcourt Street, Bulimba, Queensland |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs E Bertram, Harcourt Stree, Bulimba, Queensland |
| Enlistment date | 27 November 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Private |
| Fate | Returned to Australia 12 May 1919 |
| Miscellaneous details (Nominal Roll) | 12th Bn |
