| Regimental number | 8365 |
| Place of birth | Bangalore India |
| Religion | Church of England |
| Occupation | Shoeing smith |
| Address | Farrant Street, Prospect, South Australia |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Mabel Caroline Bristow, Farrant Street, Prospect, South Australia |
| Enlistment date | 14 September 1915 |
| Rank on enlistment | Bombardier |
| Unit name | Field Artillery Brigade 6, Battery 18 |
| AWM Embarkation Roll number | 13/34/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A34 Persic on 22 November 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 5 November 1917 |