| Regimental number | 3402 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Popanyinning PO, Popanyinning, Western Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs M J Bradley, Popanyinning, Western Australia |
| Enlistment date | 4 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A24 Benalla on 1 November 1915 |
| Regimental number from Nominal Roll | 3402A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 51st Battalion |
| Fate | Returned to Australia 21 June 1919 |
