| Regimental number | 6826 |
| Place of birth | York England |
| Religion | Church of England |
| Occupation | Civil servan |
| Address | 217 Royal Street, East Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 22 |
| Next of kin | Wife, Mrs Annie Shaw, 217 Royal Street, East Perth, Western Australia |
| Enlistment date | 3 July 1916 |
| Date of enlistment from Nominal Roll | 4 June 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/33/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A8 Argyllshire on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 16th Battalion |
| Fate | Returned to Australia 1 June 1919 |