| Regimental number | 19561 |
| Place of birth | Brixton England |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs Jane Sheppard, 'Ilfracombe,' Mear avenue, Randwick, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | July 1917 Reinforcements |
| AWM Embarkation Roll number | 14/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Field Company Engineers |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
