| Regimental number | 10386 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | School teacher |
| Address | Katanning, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, T P Shaw, State School, Geraldton, Western Australia |
| Previous military service | 86th Infantry |
| Enlistment date | 8 February 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, April 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A60 Aeneas on 17 April 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia 1 June 1919 |
