| Regimental number | 6009 |
| Place of birth | Portsmouth Hampshire |
| Religion | Church of England |
| Occupation | Millwright |
| Address | Alma Street, Clayfield, Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, A Bradford, Alma Street, Clayfield, Brisbane, Queensland |
| Enlistment date | 16 July 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, Special Reinforcements |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 16 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Returned to Australia 31 October 1917 |
