| Regimental number | 2076 |
| Place of birth | Herefordshire England |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Pimlico, Townsville, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Elizabeth Shambrook, Pimlico, Townsville, Queensland |
| Enlistment date | 18 October 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/10/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A62 Wandilla on 31 January 1916 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | Australian Army Pay Corps |
| Fate | Effective abroad (still overseas) |
