| Place of birth | Bourke New South Wales |
| Religion | Church of England |
| Occupation | Soldier |
| Address | 10 Albert Street, Goodwood Park, South Australia |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs Florence P Shaw, 10 Albert Street, Goodwood Park, South Australia |
| Previous military service | A & 1 Staff |
| Enlistment date | |
| Rank on enlistment | Lieutenant |
| Unit name | 43rd Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/60/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Ormonde on |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 43rd Battalion |
| Promotions |
Lieutenant Unit: General Infantry Reinforcements Promotion date: |
| Fate | Returned to Australia |