| Regimental number | 12398 |
| Place of birth | South Melbourne Victoria |
| Religion | Church of England |
| Occupation | Engineer |
| Address | Mount Blackwood, Victoria |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs I Shaw, Creswick, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 10 |
| AWM Embarkation Roll number | 26/53/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Killed in Action |
| Place of burial | Cite Bonjean Military Cemetery (Plot III, Row F, Grave No. 28), Armentieres, France |
| Panel number, Roll of Honour, Australian War Memorial | 183 |