| Regimental number | 4881 |
| Place of birth | Carlisle England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Mullumbimby, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs M E Shaw, 15 William Street, Penrith Cumberland, England |
| Enlistment date | 10 September 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A73 Commonwealth on 28 March 1916 |
| Rank from Nominal Roll | Lance Sergeant |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 4 January 1919 |
