| Regimental number | 14984 |
| Place of birth | Essex England |
| Religion | Church of England |
| Occupation | Driver |
| Address | West Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs M Shelley, 4 Hammond Street, West Perth, Western Australia |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Army Medical Corps, July 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 9 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian Auxiliary Hospital |
| Fate | Effective abroad (still overseas) |
