| Regimental number | 30515 |
| Place of birth | Poole England |
| Religion | Church of England |
| Occupation | Cable joiner |
| Address | Auburn Avenue, Northcote, Victoria |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs S M Shippick, Auburn Avenue, Northcote, Victoria |
| Enlistment date | 16 June 1916 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 12, Reinforcement 8 |
| AWM Embarkation Roll number | 13/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Fate | Returned to Australia 31 January 1918 |
