
| Regimental number | 11 |
| Place of birth | Cowra New South Wales |
| Religion | Roman Catholic |
| Occupation | Farmer |
| Address | Cootamundra, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, D Shaw, Spring Tree, Cowra, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Machine Gun Squadron, March 1917 Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Machine Gun Squadron |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in New South Wales Garden of Remembrance |
| Date of death |