| Regimental number | 1883 |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | Euroa, Victoria |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Harriett Shellswell, Euroa, Victoria |
| Enlistment date | 19 November 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/13/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A44 Vestalia on 18 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |