| Regimental number | 4769 |
| Place of birth | Hyde Park South Australia |
| Religion | Methodist |
| Occupation | Clerk |
| Address | c/o Mrs A L Shepley, Balliot Street, College Park, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Amy Louise Shepley, Balliot Street, College Park, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Australian General Hospital 3, Reinforcement 1 |
| AWM Embarkation Roll number | 26/67/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
