| Regimental number | 6891A |
| Place of birth | Tarranyurk Victoria |
| Religion | Methodist |
| Occupation | Dairy farmer |
| Address | Meeniyan, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, W Shrives, Meeniyan, Victoria |
| Enlistment date | 11 July 1917 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/39/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Regimental number from Nominal Roll | 6891 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Machine Gun Corps Details |
| Fate | Returned to Australia 19 February 1919 |
