| Regimental number | 6286 |
| Place of birth | Kaarimba, Victoria |
| Religion | Presbyterian |
| Occupation | Carpenter |
| Address | Katunga PO, Katunga, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Eliza Ann Bristol, Katunga PO, Katunga, Victoria |
| Enlistment date | 16 October 1916 |
| Place of enlistment | Castlemaine, Victoria |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |