| Regimental number | 1764 |
| Place of birth | Bradford England |
| Religion | Methodist |
| Occupation | Labourer |
| Address | c/o Mr Ramsay, Cumbalum, Ballina, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, W Shaw, 106 Boyton Street, Bradford Erks, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 2nd Australian General Hospital, Special Reinforcements |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Australian General Hospital |
| Fate | Discharged |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
