| Religion | Church of England |
| Occupation | Dentist |
| Address | Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs M G Bradshaw, c/o Mrs Bristowe, Mosely Street, Glenelg, South Australia |
| Previous military service | Australian Army Medical Corps Res |
| Enlistment date | |
| Rank on enlistment | HON LT |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Morea on |
| Rank from Nominal Roll | Captain |
| Unit from Nominal Roll | Dental Corps |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |