| Regimental number | 11128 |
| Religion | Church of England |
| Occupation | Miner |
| Address | Bouraville, N Coast, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, A Shorter, 64 Park Road, Shetford, Manchester, England |
| Enlistment date | 24 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 14 |
| AWM Embarkation Roll number | 13/31/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 15 January 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
