| Regimental number | 2073 |
| Place of birth | Meckering Western Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Mackering |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Elizabeth Jane Shaw, 222 Beaufort Street, Perth, Western Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 14th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A69 Warilda on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
