| Regimental number | 18419 |
| Place of birth | Brighton Victoria |
| Religion | Church of England |
| Occupation | Dentist's assistant |
| Address | Prahran, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, J Shaw, 64 Bendigo Street, Prahran, Victoria |
| Previous military service | 13th Australian Army Medical Corps |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | June 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A15 Port Sydney on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Springvale Cemetery |