| Regimental number | 53921 |
| Place of birth | Manchester England |
| Religion | Church of England |
| Occupation | Machinist |
| Address | Marrickville, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, J Bertenshaw, 'Ivydell', Essex Street, Marrickville, New South Wales |
| Enlistment date | 15 May 1918 |
| Date of enlistment from Nominal Roll | 16 April 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 5 |
| AWM Embarkation Roll number | 23/111/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Feldmarschall on 19 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Infantry Base Depot |
| Fate | Returned to Australia 22 July 1919 |