| Regimental number | 9760 |
| Place of birth | Toowoomba Qld |
| Religion | Methodist |
| Occupation | Accountant |
| Address | Epping, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Herbert Shelley House, Victoria Street, Epping, New South Wales |
| Enlistment date | 7 August 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance, Reinforcement 16 |
| AWM Embarkation Roll number | 26/44/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Makarini on 5 April 1916 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | Australian Army Pay Corps |
| Fate | Discharged 6 January 1920 |
