| Regimental number | 15458 |
| Place of birth | Ipswich Queensland |
| Religion | Church of England |
| Occupation | Draper |
| Address | Chelmer, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs F M Bryan, Calboonya, Chelmer, Queensland |
| Enlistment date | 29 December 1915 |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Boonah on 21 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Field Ambulance |
| Fate | Returned to Australia 1 July 1919 |