| Regimental number | 4428 |
| Place of birth | Broken Hill New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 157 Brown Street, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M Shaw, Newman Street, Adelaide, South Australia |
| Enlistment date | 28 September 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A62 Wandilla on 3 February 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 18 January 1919 |
