| Regimental number | 1877 |
| Place of birth | Peterborough England |
| Religion | Church of England |
| Occupation | Bank clerk |
| Address | Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs Gladys P S Shillaker, State Bank, Pirie Street, Adelaide, South Australia |
| Enlistment date | 8 December 1915 |
| Rank on enlistment | Private |
| Unit name | 48th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/65/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A48 Seang Bee on 13 July 1916 |
| Regimental number from Nominal Roll | 1877A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 5 April 1918 |