| Regimental number | 28 |
| Place of birth | Swansea Tasmania |
| Religion | Church of England |
| Occupation | Bushman |
| Address | Glenelg, Gretna, Tasmania |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mary Shadwick, Glenelg, Gretna, Tasmania |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 12th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A2 Geelong on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Effective abroad (still overseas) |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
