| Regimental number | 4513 |
| Place of birth | Magill South Australia |
| Religion | Methodist |
| Occupation | Painter |
| Address | Beulah Park, South Australia |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs Bessie Florence Shipley, c/o Mrs Burdett, Magill Road, Beulah Park, South Australia |
| Enlistment date | 13 December 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/44/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A9 Shropshire on 25 March 1916 |
| Regimental number from Nominal Roll | 4513A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | h Battalion |
| Fate | Returned to Australia 24 January 1919 |
