| Regimental number | 3011 |
| Place of birth | South Brisbane Queensland |
| Religion | Congregational |
| Occupation | Salesman |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mtrs Sarah Jane Shepherd, Knowsley Street, Coorparoo, Brisbane, Queensland |
| Enlistment date | 12 April 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 22nd Reinforcement |
| AWM Embarkation Roll number | 10/10/5 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A43 Barunga on 26 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Light Horse Regiment |
| Fate | Returned to Australia 13 July 1919 |
