| Regimental number | 39704 |
| Place of birth | Waltham Abbey England |
| Religion | Church of England |
| Occupation | Nitro glycerine worker |
| Address | Maribyrnong, Victoria |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs E Shepherd, Middle Road, Maribyrnong, Victoria |
| Enlistment date | 8 January 1918 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 35 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Darwin on 30 April 1918 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | Artillery Details |
| Fate | Returned to Australia 14 January 1919 |