| Regimental number | 19142 |
| Place of birth | Rockdale New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Holroyd Road, Merrylands, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs P K Shaw, Holroyd Road, Merrylands, New South Wales |
| Enlistment date | 20 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 7, Battery 28 |
| AWM Embarkation Roll number | 13/35/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 11 May 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Returned to Australia 18 January 1919 |