| Regimental number | 25671 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Grendon, Waterview Street, Ryde, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs R K Shaw, Grendon, Waterview Street, Ryde, Sydney, New South Wales |
| Previous military service | 19th Infantry |
| Enlistment date | 21 January 1916 |
| Date of enlistment from Nominal Roll | 20 January 1916 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 5, Reinforcement 4 |
| AWM Embarkation Roll number | 25/93/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 29 July 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Fate | Returned to Australia 22 May 1919 |
| Miscellaneous details (Nominal Roll) | *Second entry both matched |
