| Regimental number | 9901 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Griffith, Yanco, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs L Bradley, Griffith, Yanco, New South Wales |
| Enlistment date | 4 February 1916 |
| Rank on enlistment | Private |
| Unit name | Field Butchery and Bakery Reinforcement 16 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 13th Company, Australian Army Service Corps |
| Fate | Returned to Australia 2 March 1919 |
