| Regimental number | 4213 |
| Place of birth | Cambawarra New South Wales |
| Religion | Church of England |
| Occupation | Bank clerk |
| Address | Woolwich Road, Woolwich, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs M Shepherd, 80 Mansfield Street, Rozelle, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Field Ambulance 8th Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board H.M.A.T. A54 Runic on |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | 14th Field Ambulance |
| Recommendations (Medals and Awards) |
Mention in Despatches Awarded, and promulgated, 'London Gazette' No. 31448 (11 July 1919); 'Commonwealth Gazette' No. 124 (30 October 1919). |
| Fate | Returned to Australia |
| Other details |
Medals: 1914-15 Star, British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Rookwood Crematorium |