| Regimental number | 7190 |
| Place of birth | Spring Creek Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Ellinthorpe, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs L E Shooter, Ellinthorpe, Queensland |
| Enlistment date | 15 September 1917 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/42/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Canberra on 16 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 18 July 1919 |
