| Regimental number | 4657 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Carter |
| Address | Stone's Corner, South Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 19 |
| Next of kin | Wife, Mrs Racheh Dorcas Bradford, c/o G Potter, Fisher Street, East Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Division Salvage Company |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Queensland Garden of Remembrance |
| Date of death |