| Regimental number | 6577 |
| Place of birth | Geelong Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 124 Clarendon Street, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs I E Shepherd, 124 Clarendon Street, South Melbourne, Victoria |
| Enlistment date | 3 July 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Effective abroad (still overseas) |
