| Regimental number | 52977 |
| Place of birth | Brighton England |
| Religion | No religion |
| Occupation | Labourer |
| Address | c/o Mrs Tynan, Edmontby via Cairns, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs C Bradley, Sandy Creek, Lennoxdale, Goatacre Lane, Medstead, Hampshire, England |
| Enlistment date | 22 February 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 2 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Effective abroad (still overseas) |
