| Regimental number | 6890A |
| Place of birth | Bendoc Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | Orbost, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Wm A Shaw, Orbost, Victoria |
| Enlistment date | 12 July 1917 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/38/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 21 November 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 24th Battalion |
| Fate | Returned to Australia 7 July 1919 |
