| Regimental number | 2763 |
| Place of birth | Broken Hill New South Wales |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Norwood, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Mary Shannon, 35 King Street, Norwood, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/67/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A16 Port Melbourne on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 43rd Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front |
| Date of death | |
| Age at death | 24 |
| Place of burial | AIF Cemetery (Path 4 E, Grave 5), West Terrace, Adelaide, South Australia |