| Regimental number | 66277 |
| Place of birth | Fleetwood England |
| Religion | Society of Friends (Quaker) |
| Occupation | Commonwealth Works Officer |
| Address | Armidale, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs E Shaw, 'Altona', Jessie Street, Armidale, New South Wales |
| Enlistment date | 18 April 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 20 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Zealandic on 5 October 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 8 July 1919 |
