| Regimental number | 7436 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Royal Mint hand |
| Address | 54 Cheriton Street, East Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Lily Ellen Shakespeare, 54 Cheriton Street, East Perth, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps Sanitary Section |
| AWM Embarkation Roll number | 26/72/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
