| Regimental number | 1058 |
| Place of birth | Mornington Victoria |
| Religion | Roman Catholic |
| Occupation | Fireman |
| Address | Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs Mary Shaw, 15 Queen Victoria Street, Fremantle, Western Australia |
| Enlistment date | 9 January 1917 |
| Rank on enlistment | Private |
| Unit name | Railway Unit, Section 3 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A28 Miltiades on 24 January 1917 |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | 5th Broad Gauge Railway Operating Company |
| Fate | Returned to Australia 1 July 1919 |
