| Regimental number | 2421 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Engine-driver |
| Address | Muswellbrook, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs. M. Shaddock, Sydney Street, Muswellbrook, New South Wales |
| Enlistment date | 13 September 1915 |
| Date of enlistment from Nominal Roll | 19 September 1915 |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/48/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 14 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Returned to Australia 21 July 1917 |