| Regimental number | 19729 |
| Place of birth | Adelaide South Australia |
| Religion | Presbyterian |
| Occupation | Electrical engineer |
| Address | Kybunga, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Eveleen Maud Shepherd, Kybunga, South Australia |
| Enlistment date | 20 February 1917 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 22/15/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
