| Regimental number | 28470 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Coburg, Victoria |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs M C Bradford, 31 Campbell Street, Coburg, Victoria |
| Enlistment date | 28 January 1916 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 3, Reinforcement 5 |
| AWM Embarkation Roll number | 25/91/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 12 May 1918 |
