| Regimental number | 3775 |
| Place of birth | New Gisborne, Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | The Union Bank of Australia Ltd, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Alice Ann Bertram, New Gisborne, Victoria |
| Enlistment date | 17 July 1915 |
| Rank on enlistment | Acting Corporal |
| Unit name | 23rd Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 8 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 4 May 1917 |
