| Regimental number | 8431 |
| Place of birth | East Witton England |
| Religion | Church of England |
| Occupation | Salesman |
| Address | Fisher Terrace, Mile End, South Australia |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs M J Shields, East Witton, Middlesham, Yorkshire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 4, Reinforcement 13 |
| AWM Embarkation Roll number | 26/47/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 7th Field Ambulance |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in South Australian Garden of Remembrance |
| Date of death |