| Regimental number | 5455 |
| Place of birth | Poplan, England |
| Religion | Church of England |
| Occupation | Gardener |
| Address | Murray Bridge, South Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A Shillett, 8 James Place, Lower North Street, Poplar, London, England |
| Enlistment date | 1 February 1916 |
| Place of enlistment | Adelaide, South Australia |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A60 Aeneas on 11 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 10 December 1918 |