
| Regimental number | 3523 |
| Religion | Roman Catholic |
| Occupation | Trimmer |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, M J Bradshaw, Union Town, Kansas, USA |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Fate | No details of fate entered on Nominal Roll |