| Regimental number | 9572 |
| Date of birth | |
| Place of birth | Mudgee, New South wales |
| School | Mudgee Public School, New South Wales |
| Religion | Church of England |
| Occupation | Teacher |
| Address | Roxana, Martin Street, North Manly, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, A Sheppard, Roxana, Martin Street, North Manly, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 1st Australian Auxiliary Hospital |
| Fate | Returned to Australia |
| Other details |
War service: Egypt, England Medal: British War Medal |