| Regimental number | 2069 |
| Place of birth | Moree New South Wales |
| Religion | Roman Catholic |
| Occupation | Shearer |
| Address | Cohen Street, Moree, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Mary Rebecca Shaw, Cohen Street, Moree, New South Wales |
| Enlistment date | 9 October 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/6/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT RMS Osterley on 15 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st A Battalion Cyc Battalion |
| Fate | Returned to Australia 20 May 1919 |
