| Regimental number | 3900 |
| Place of birth | Hobart Tasmania |
| Religion | Salvation Army |
| Occupation | Storeman |
| Address | 148 Birrell Street, Waverley, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, F. Shaw, 73 Botany Street, Redfern, Sydney, New South Wales |
| Enlistment date | 21 September 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 17 March 1919 |
