| Regimental number | 4668 |
| Place of birth | Mardan Victoria |
| Religion | Church of Christ |
| Occupation | Clerk |
| Address | 105 Warburton Road, Canterbury, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, F Shaw, 105 Warburton Road, Canterbury, Victoria |
| Previous military service | 48th Infantry |
| Enlistment date | 8 December 1915 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 12, Reinforcement 2 |
| AWM Embarkation Roll number | 13/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A17 Port Lincoln on 4 May 1916 |
| Regimental number from Nominal Roll | 14668 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | nig No details enetered on Nominal |
