| Regimental number | 1644 |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Strahan, Tasmania |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Thos Shepherd, Strahan, Tasmania |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |