| Regimental number | 4455 |
| Place of birth | Launceston, Tasmania |
| Religion | Church of England |
| Occupation | Factory employee |
| Address | Launceston, Tasmania |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs P S Bradshaw, Cr Abbott And York Streets, Launceston, Tasmania |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 4th Divisional Signal Company |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 75 Date: |