| Regimental number | 5612A |
| Religion | Church of England |
| Occupation | Plasterer |
| Address | High Street, Wedderburn, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs K.M. Bristowe, same address |
| Enlistment date | 7 January 1915 |
| Rank on enlistment | Driver |
| Unit name | Divisional Train Reinforcements 5 |
| AWM Embarkation Roll number | 25/14/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 17 April 1915 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 10 April 1915 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A59 Botanist on 1 June 1915 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A20 Hororata on 17 April 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 31st Company, Australian Army Service Corps |
| Fate | Returned to Australia 10 January 1918 |