| Regimental number | 1193 |
| Place of birth | Glanville South Australia |
| Religion | Methodist |
| Occupation | Coppersmith |
| Address | Chapel Street, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs. Sarah Ann Shaddock, Chapel Street, Broken Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | SIG22.12.2R2.S3 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Divisional Signal Company |
| Fate | Returned to Australia |