| Regimental number | 16911 |
| Place of birth | Collingwood, Victoria |
| Religion | Church of England |
| Occupation | Warehouse salesman |
| Address | Thornbury, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Florence Beatrice Bradley, 23 Harold Street, Thornbury, iva Northcote, Victoria |
| Enlistment date | 1 February 1917 |
| Date of enlistment from Nominal Roll | 3633829 |
| Rank on enlistment | Sergeant |
| Unit name | Australian Camel Field Ambulance |
| AWM Embarkation Roll number | 26/60/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Camel Field Ambulance ? |
| Fate | Returned to Australia No details enetered on Nominal |