| Regimental number | 14503 |
| Place of birth | Five Dock New South Wales |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Five Dock, New South Wales |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs R M Burton-Bradley, 'Llewellyn', Lyons Road, Five Dock, New South Wales |
| Enlistment date | 3 December 1915 |
| Date of enlistment from Nominal Roll | 2 December 1915 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, July 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 22 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 27 September 1917 |
