| Regimental number | 36091 |
| Place of birth | Derbyshire England |
| Religion | Roman Catholic |
| Occupation | Farrier's improver |
| Address | 'Thelma', Swift Avenue, Dulwich, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Ellen Cecilia Braddock, 'Ivey Dene', Swift Avenue, Dulwich, South Australia |
| Enlistment date | 4 October 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 28 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on 9 November 1917 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia 20 June 1919 |
