| Regimental number | 2796 |
| Place of birth | Leeds, England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | East Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Blanche Bevelyn M Bradshaw, 20 Brookman Street, Perth, Western Australia |
| Enlistment date | |
| Place of enlistment | Perth, Western Australia |
| Rank on enlistment | Private |
| Unit name | March 1917 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A42 Boorara on |
| Fate | No details of fate entered on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
