| Regimental number | 3930 |
| Place of birth | Silsden England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 3 Nicholson Place, Seilsden, Yorkshire, England |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Mary Alice Shackleton, 3 Nicholson Place, Seilsden, Yorkshire, England |
| Enlistment date | 16 July 1915 |
| Date of enlistment from Nominal Roll | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 8 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Division Train |
| Fate | Returned to Australia 6 September 1919 |
