| Regimental number | 5040 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Leafield, Nicholson Street Chatswood, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, H Brebner, The Lodge, Quagge Works, Lee Green, Kent, England |
| Enlistment date | 18 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Regimental number from Nominal Roll | 5040A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia 6 May 1919 |
