| Regimental number | 11353 |
| Occupation | Seaman |
| Next of kin | Father, Peter Shoulders, 30 Dock Street Belfast Ireland |
| Rank on embarkation | Private |
| Unit name | New Zealand Expeditionary Force, 12th Reinforcements (1st Draft), Otago Infantry Battalion, D Company |
| Embarkation details | Unit embarked from Wellington on board Ulimoroa on |
| Other details | Failed to Re-embark at Freemantle 13/5/16 |
| Sources | Nominal Roll Vol. 2: Roll 30, p. 14 |