| Regimental number | 1135 |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs. E. Shelley, 176 Branston Road, Burton-on-Trent, England |
| Enlistment date | 25 January 1915 |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signals Company 2, Section 3 |
| AWM Embarkation Roll number | 22/12/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A2 Geelong on 31 May 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
