| Regimental number | 674 |
| Place of birth | Dardanup, Western Australia |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Ellen Shipworth, Dardanup, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 1st Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A52 Surada on |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 10th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
