| Regimental number | 2622 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Ninth avenue, Maylands, Western Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Benjamin Shaw, Ninth avenue, Maylands, Western Australia |
| Enlistment date | 14 August 1916 |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on 9 November 1916 |
