| Regimental number | 7049 |
| Place of birth | Swindon England |
| Religion | Baptist |
| Occupation | Station hand |
| Address | Norah Park, Charleville, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs M Shawyer, L2 Wood Street, Swindon Wiltshire, England |
| Enlistment date | 30 September 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 24 August 1918 |
