| Regimental number | 4507 |
| Place of birth | Goulburn New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Port Kembla, New South Wales |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Emily Bradford, Ball Street, South Goulburn, New South Wales |
| Enlistment date | 13 November 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Regimental number from Nominal Roll | 4507A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 12 June 1919 |
