| Regimental number | 68901 |
| Place of birth | Portland, Victoria |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Portland, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, C Bradshaw, Otway Street, Portland, Victoria |
| Enlistment date | 12 August 1918 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 15th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A36 Boonah on 22 October 1918 |
| Fate | No details of fate entered on Nominal Roll |
