| Regimental number | 51697 |
| Place of birth | Ballan Victoria |
| Religion | Methodist |
| Occupation | Fettler |
| Address | Skene Street, Warrnambool, Victoria |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs R A Shaw, Skene Street, Warrnambool, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
