| Regimental number | 6069 |
| Place of birth | Hobart Tasmania |
| Religion | Salvation Army |
| Occupation | Joiner |
| Address | Barracks, Hobart, Tasmania |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Mr D Sheppard, 11 Summer Hill Road, North Hobart, Tasmania |
| Enlistment date | 12 June 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 19th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board HMAT A70 Ballarat on 8 August 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 20 May 1919 |
