| Regimental number | 8213 |
| Place of birth | North Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Clerk |
| Address | 47 Erskine Street, North Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, M Shinnick, 47 Erskine Street, North Melbourne, Victoria |
| Previous military service | 16th Australian Army Medical Corps |
| Enlistment date | 10 June 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, Special Reinforcements |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 16 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | special RFTS |
| Fate | Returned to Australia 24 June 1916 |