| Regimental number | 604 |
| Place of birth | Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Tobacco worker |
| Address | 89 Albert Street, Footscray, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mrs Bristow, 89 Albert Street, Footscray, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, E Company |
| AWM Embarkation Roll number | 23/23/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A20 Hororata on |
| Rank from Nominal Roll | Warrant Officer (Class II) |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |