| Regimental number | 3411 |
| Place of birth | Goulburn New South Wales |
| Religion | Presbyterian |
| Occupation | Fireman |
| Address | Hamilton Street, Dapto, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, Mr Shaw, Hamilton Street, Dapto, New South Wales |
| Enlistment date | 3 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on 2 November 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 5th Machine Gun Battalion |
| Fate | Returned to Australia 28 March 1919 |
