| Regimental number | 3113 |
| Place of birth | Melbourne Victoria |
| Religion | Roman Catholic |
| Occupation | Bookkeeper |
| Address | Hughenden, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Mother, Mrs. Marie Louise Sheppard, Punt Road, Toorak, Victoria |
| Enlistment date | 8 November 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Regiment, 24th Reinforcement |
| AWM Embarkation Roll number | 10/7/5 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A1 Hymettus on 3 February 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |