| Regimental number | 2014 |
| Place of birth | Woolsthorpe Victoria |
| Religion | Presbyterian |
| Occupation | Farm hand |
| Address | Rosebrook, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Lucy Shaddock, Korumburra, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 58th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/75/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A31 Ajana on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Light Railway Operating Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
