| Regimental number | 3614 |
| Place of birth | Townsville Queensland |
| Religion | Church of England |
| Occupation | Jockey |
| Address | Tea Gardens Hotel, South Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Eva Bradshaw, c/o Dr. Way, Davis Street, Boulder, Western Australia |
| Enlistment date | 19 January 1917 |
| Date of enlistment from Nominal Roll | 18 January 1917 |
| Rank on enlistment | Private |
| Unit name | 51st Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/68/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on 29 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 15 February 1918 |