| Regimental number | 2623 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Painter |
| Address | Oxford Road, Victoria Park, Western Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Clara Shadgett, Oxford Road, Victoria Park, Western Australia |
| Enlistment date | 14 August 1916 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on 9 November 1916 |
| Regimental number from Nominal Roll | 2623B |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 10 March 1918 |
