| Regimental number | 1643 |
| Place of birth | Goodwood South Australia |
| Religion | Church of England |
| Occupation | Company secretary |
| Address | 86 Maude Street, Unley, South Australia |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs. Fanny Sheppard, 86 Maude Street, Unley, South Australia |
| Enlistment date | 30 August 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 12th Reinforcement |
| AWM Embarkation Roll number | 10/8/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on 18 November 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 12 June 1919 |
