| Regimental number | 25923 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Stationer |
| Address | Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Mary A Shaw, c/o Mrs Hendry, Wyman Street, West Broken Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | 23rd Howitzer Brigade, 4th Reinforcement |
| AWM Embarkation Roll number | 13/133/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 14th Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
