| Regimental number | 4856 |
| Place of birth | Alberton South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Semaphore, South Australia |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Emma Mary Shore, Rann Street, Birkenhead, South Australia |
| Previous military service | 77th Infantry |
| Enlistment date | 19 December 1916 |
| Rank on enlistment | Private |
| Unit name | 32nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/49/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A30 Borda on 23 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia 12 May 1919 |
