| Regimental number | 7900 |
| Religion | Church of England |
| Occupation | Mount cutter |
| Address | 'Alva', Mount Street, Prahran, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Lydia Shaw, 'Alva', Mount Street, Prahran, Victoria |
| Enlistment date | 14 June 1915 |
| Date of enlistment from Nominal Roll | 14 May 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Australian General Hospital, Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on 11 October 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian General Hospital |
| Fate | Effective abroad (still overseas) |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
