| Regimental number | 68536 |
| Place of birth | Melbourne, Victoria |
| Religion | Baptist |
| Occupation | Leadworker |
| Address | 60 Lock Street, Coburg, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, O F Bergstrom, 60 Lock Street, Coburg, Victoria |
| Previous military service | 5th Battalion 21st Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on |
| Fate | No details of fate entered on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
