| Regimental number | 58401 |
| Place of birth | Ormeau Queensland |
| Religion | Methodist |
| Occupation | Stenographer and typist |
| Address | Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs H Shaw, Kelvin Grove Road, Kelvin Grove, Brisbane, Queensland |
| Previous military service | 9th Infantry |
| Enlistment date | 11 March 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 7 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
