| Regimental number | 7284 |
| Place of birth | Axedale Victoria |
| Religion | Church of England |
| Occupation | Hotelkeeper |
| Address | Cossack, Western Australia |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs J L Shaw, Jubilee Hotel, Roebourne, Western Australia |
| Enlistment date | 28 September 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies, March 1917 Reinforcements |
| AWM Embarkation Roll number | 16/15/3 |
| Embarkation details | Unit embarked from Melbourne, Vic, on board HMAT A32 Themistocles on 4 August 1917 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Tunnelling Company |
| Fate | Returned to Australia 1 June 1919 |
