| Regimental number | 964 |
| Place of birth | Hawthorn, Victoria |
| Religion | Presbyterian |
| Occupation | Butcher |
| Address | 80 Hampton Road, Beaconsfield, Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mrs Shepherd, 80 Hampton Road, Fremantle, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, A Company |
| AWM Embarkation Roll number | 23/28/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 11th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
