| Regimental number | 2963 |
| Place of birth | Springwood New South Wales |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 50 Nelson Street, Annandale, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Mary Shaw, same address |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Light Horse Regiment, 21st Reinforcement |
| AWM Embarkation Roll number | 10/12/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A1 Hymettus on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Horse Regiment |
| Fate | Returned to Australia |
| Other details | Medals: British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Rookwood Necropolis |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
