| Regimental number | 5023 |
| Date of birth | |
| Place of birth | Rockhampton Queensland |
| Religion | Church of England |
| Occupation | Draftsman |
| Address | Grantham, Shirley Road, Roseville, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Harriet Shaw, Grantham, Shirley Road, Roseville, Sydney, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | 1st Field Company Engineers, Reinforcement 13 |
| AWM Embarkation Roll number | 14/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A35 Berrima on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 14th Field Company Engineers |
| Promotions |
2nd Lieutenant Unit: ENG Div 5 Promotion date: Lieutenant Unit: ENG Div 5 Promotion date: |
| Fate | Returned to Australia |