| Regimental number | 15058 |
| Place of birth | Fitzroy Victoria |
| Religion | Roman Catholic |
| Occupation | Dental mechanic |
| Address | St Kilda, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, G Shanahan, 32 Addison Street, St Kilda, Victoria |
| Enlistment date | 2 May 1916 |
| Date of enlistment from Nominal Roll | 20 March 1916 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on 14 February 1917 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 1 August 1919 |