| Regimental number | 11299 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 'NaVale', Parramatta Road, Ryde, New South Wales |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Sister, Mrs M I Shuldon, 'NaVale', Parramatta Road, Ryde, New South Wales |
| Enlistment date | 16 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 1, Reinforcement 14 |
| AWM Embarkation Roll number | 13/29/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 6th Field Artillery Brigade |
| Fate | Returned to Australia 2 March 1919 |
