| Regimental number | 18791 |
| Place of birth | Clarendon |
| Religion | Methodist |
| Occupation | Mechanic |
| Address | Marnoo, Victoria |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs. Rebecca Bradshaw, c/o Mrs. Ralston, P.O., Potilla, via Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 2, Reinforcement 24 |
| AWM Embarkation Roll number | 22/12/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Divisional Signal Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
