| Regimental number | ... |
| Place of birth | Footscray Victoria |
| Religion | Church of England |
| Occupation | Accountant |
| Address | Subiaco, Western Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Father, J W Shacklock, Salvado Road And Connolly Street, Subiaco, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | 2nd Lieutenant |
| Unit name | 11th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/28/5 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A30 Borda on |
| Regimental number from Nominal Roll | NIG |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
