| Regimental number | 4308 |
| Place of birth | Bentford England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Walwa House, Walwa, via Wodonga, Victoria |
| Marital status | Single |
| Age at embarkation | 37 |
| Next of kin | Sister, Miss E Shotter, 5 Clifton Villas, Windmill Road, Brentford, London, England |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia |
| Date of death | |
| Place of burial | Springvale Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
