| Regimental number | 2797 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Fireman |
| Address | 1 Salisbury Road, Boulder, Western Australia |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Ethel Mary Shaw, 1 Salisbury Road, Boulder, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 28th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/45/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on |
| Regimental number from Nominal Roll | 2797A |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Field Company Engineers |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Western Australia Garden of Remembrance |
| Date of death |