| Regimental number | 3711 |
| Place of birth | Nottingham England |
| Religion | Church of England |
| Occupation | Telephone mechanic |
| Address | Willoughby, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Annie Shacklock, Chiltern Road, Willoughby, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 56th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/73/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| Regimental number from Nominal Roll | 3711A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
