| Regimental number | 3942 |
| Place of birth | Tarranyurk Victoria |
| Religion | Methodist |
| Occupation | Farmer |
| Address | P O Meeniyan, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, W Shrives, Kaneira, Victoria |
| Enlistment date | 8 July 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/23/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 20 December 1918 |
