| Regimental number | 61689 |
| Place of birth | Geelong Victoria |
| Religion | Methodist |
| Occupation | Driver |
| Address | 9 Smythe Place off Little Ryrie Street, Geelong, Victoria |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, J Shaw, 9 Smythe Place off Little Ryrie Street, Geelong, Victoria |
| Enlistment date | 1 June 1918 |
| Rank on enlistment | Private |
| Unit name | 12th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A37 Barambah on 31 August 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 58th Battalion |
| Fate | Returned to Australia 17 March 1919 |
