| Regimental number | 11132 |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Chiswick Road, Auburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, H Shelly, Chiswick Road, Auburn, New South Wales |
| Previous military service | 39th Infantry |
| Enlistment date | 22 August 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 14 |
| AWM Embarkation Roll number | 13/31/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |