| Regimental number | 2475 |
| Place of birth | Newcastle England |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | Glen Farm, Bundanoon, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, C Shufflebotham, 58 Upper Green, Newcastle, Staffordshire, England |
| Enlistment date | 24 July 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on 5 October 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 2nd Corps Salvage Company |
| Fate | Returned to Australia 15 May 1919 |
