| Regimental number | 12397 |
| Place of birth | Brunswick Victoria |
| Religion | Church of England |
| Occupation | Chemical worker |
| Address | 'Elvira', 11 Yarra Street, Hawthorn, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, Joseph Shaw, 'Elvira', 11 Yarra Street, Hawthorn, Victoria |
| Enlistment date | 23 February 1916 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 10 |
| AWM Embarkation Roll number | 26/53/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 20 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia 1 August 1919 |
