| Regimental number | 21684 |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Metropolitan Fire Station, Arm Street, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs B.B. Bartlett, 199 High Road, Willesden Green, London, England |
| Enlistment date | 24 September 1917 |
| Rank on enlistment | Sapper |
| Unit name | Engineering Field Companies, General Reinforcements |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 22 March 1918 |
| Fate | No details of fate entered on Nominal Roll |
