| Regimental number | 10184 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Bookbinder |
| Address | Box Hill, Victoria |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs A E Shaw, 278 St Benedicts Road, Small Heath, Birmingham, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | No. 3 Australian General Hospital, 1st Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Stationary Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
