| Regimental number | 17833 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Tram conductor |
| Address | Waterloo, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs F Shinn, 18 Morehead Street, Waterloo, New South Wales |
| Enlistment date | 8 June 1916 |
| Date of enlistment from Nominal Roll | 18 May 1916 |
| Rank on enlistment | Private |
| Unit name | May 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A68 Anchises on 8 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 24 July 1919 |