| Regimental number | 1746 |
| Place of birth | Maryborough Queensland |
| Religion | Salvation Army |
| Occupation | Carter |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Alice Shaw, John Street, Maryborough, Queensland |
| Enlistment date | 6 January 1916 |
| Rank on enlistment | Private |
| Unit name | 52nd Battalion, 2nd Reinforcement |
| AWM Embarkation Roll number | 23/69/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Fate | Returned to Australia 27 July 1917 |