| Regimental number | 4820 |
| Place of birth | Ontario Canada |
| Religion | Methodist |
| Occupation | Miner |
| Address | Toowoomba, Queensland |
| Marital status | Single |
| Age at embarkation | 44 |
| Next of kin | Mother, Mrs. Sarah Jane Bradley, Mount Forest, Ontario, Canada |
| Enlistment date | 31 October 1916 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/48/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 7 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 22 July 1919 |
