| Regimental number | 5765 |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Deloraine, Tasmania |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs A A Shephard, Deloraine, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A49 Seang Choon on |
| Miscellaneous details (Nominal Roll) | see other |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
