| Regimental number | 767 |
| Religion | Church of England |
| Occupation | Miner |
| Address | ... |
| Marital status | Widower |
| Age at embarkation | 53 |
| Next of kin | Daughter, Miss Annie Frances Bryam c/o Mrs W Williams, Kangaroo Flat, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/33/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on |
| Fate | No details of fate entered on Nominal Roll |