| Regimental number | 1784 |
| Place of birth | Balmain New South Wales |
| Religion | Methodist |
| Occupation | Box-maker |
| Address | 37 Lawson Street, Balmain, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Kate Bristowe, 37 Lawson Street, Balmain, New South Wales |
| Enlistment date | 11 April 1916 |
| Date of enlistment from Nominal Roll | 29 March 1916 |
| Rank on enlistment | Private |
| Unit name | 35th Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/52/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on 4 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Effective abroad (still overseas) |
