
| Regimental number | 4621 |
| Place of birth | Ballarat, Victoria |
| Religion | Baptist |
| Occupation | Cook |
| Address | 'Kwia', 11 Park Street, Northcote, Victoria |
| Marital status | Married |
| Age at embarkation | 31 |
| Height | 5' 7" |
| Weight | 128 lbs |
| Next of kin | Wife, Mrs Evelyn Martha Nikola, 'Kwia', 11 Park Street, Northcote, Victoria |
| Previous military service | Nil |
| Enlistment date | |
| Place of enlistment | East Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 53rd Battalion |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Photo: Andrew Richardson |
| Discharge date | |
| Other details |
War service: Western Front Commenced return to Australia on board HT 'Delta', 24 January 1919; arrived, Melbourne, 7 March 1919, for onward travel to Sydney; discharged (medically unfit: gassed), Sydney, 8 May 1919. Medals: British War Medal, Victory Medal Death attributed to War Service. |
| Date of death | |
| Place of burial | Rookwood Necropolis, Sydney, New South Wales |
| Sources | NAA: B2455, NIKOLA Bertram |