
| Regimental number | 5417 |
| Place of birth | Morgan South Australia |
| Religion | Church of England |
| Occupation | Fitter |
| Address | 167 Lord Street, East Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs Lillian Mary Shaw, 167 Lord Street, East Perth, Western Australia |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in Western Australia Garden of Remembrance |
| Date of death |