| Regimental number | 13761 |
| Place of birth | Maitland New South Wales |
| Religion | Baptist |
| Occupation | Butcher |
| Address | 350 Annandale Street, Annandale, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs S J Shelton, 350 Annandale Street, Annandale, New South Wales |
| Enlistment date | 7 July 1916 |
| Rank on enlistment | Private |
| Unit name | Army Service Corps Reinforcement 23 |
| AWM Embarkation Roll number | 25/105/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Depot Unit of Supply |
| Fate | Returned to Australia 28 March 1919 |
| Date of death | 9 May 1950 |
| Place of burial | Rookwood Crematorium |