| Regimental number | 375 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Redfern, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, G Bristow, Two Miles, Albany, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/15/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A52 Surada on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Army Service Corps |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Karrakatta Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
