| Regimental number | 29574 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | Jayes Road, Bridgetown, Western Australia |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs K Shellam, Jayes Road, Bridgetown, Western Australia |
| Enlistment date | 27 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 118 |
| AWM Embarkation Roll number | 13/136/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A60 Aeneas on 3 October 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | Artillery Details |
| Fate | Returned to Australia 11 January 1918 |
