| Regimental number | 5829 |
| Place of birth | Kyneton Victoria |
| Religion | Church of England |
| Occupation | Horse breaker |
| Address | 8 George Street, Burwood, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs L Shelley, 8 George Street, Burwood, Sydney, New South Wales |
| Enlistment date | 8 January 1918 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 14/13/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
