| Regimental number | 7557 |
| Place of birth | Blayney New South Wales |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Blayney, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs E Shackespear, Adelaide Street, Blayney, New South Wales |
| Enlistment date | 18 May 1917 |
| Date of enlistment from Nominal Roll | 1 May 1917 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/20/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 31 October 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 25 January 1919 |
