| Regimental number | 6117 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Belgravia Manning Road, Woollahra, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Emma Shelton, Belgravia Manning Road, Woollahra, New South Wales |
| Enlistment date | 17 July 1916 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/38/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A19 Afric on 3 November 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Machine Gun Battalion |
| Fate | Returned to Australia 7 July 1919 |