| Regimental number | 66998 |
| Place of birth | East Maitland New South Wales |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 44 Bruce Street, Cook's Hill, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, J Shaw, Rose Street, Merewether, Newcastle, New South Wales |
| Previous military service | 2nd Battalion 2nd Infantry |
| Enlistment date | 13 April 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 23 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
