| Regimental number | 6787 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | C/o Mrs Shelmerdine, Spencer Street, Rose Bay, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Sister, Mrs Shelmerdine, Spencer Street, Rose Bay, Sydney, New South Wales |
| Enlistment date | 7 August 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Port Napier on 17 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 6 May 1919 |
| Date of death | 26 September 1928 |
| Place of burial | Toowong Cemetery |
