| Regimental number | 4863 |
| Place of birth | Snowtown, South Australia |
| Religion | Methodist |
| Occupation | Farm hand |
| Address | Post Office Snowtown, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs A P Shetlat, Snowtown, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Age at death | 64 |
| Place of burial | Brinkworth Cemetery, South Australia |