| Place of birth | Adelaide South Australia |
| Religion | Church of Christ |
| Occupation | Draughtsman |
| Address | c/o Mrs S Howard, Elizabeth Street, North Croydon |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs A Bartlett, North Esplanade, Semaphore, South Australia |
| Enlistment date | 19 May 1915 |
| Rank on enlistment | Private |
| Unit name | No 3 Australian General Hospital |
| AWM Embarkation Roll number | 26/67/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Miscellaneous details (Nominal Roll) | see other |
