| Regimental number | 4764 |
| Place of birth | South Norwood England |
| Religion | Church of England |
| Occupation | Mining prospector |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 43 |
| Next of kin | Wife, Mrs Hanna Jane Shaw, Buddahbadah, Nyngan, New South Wales |
| Enlistment date | |
| Rank on enlistment | Acting Corporal |
| Unit name | 25th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 25th Battalion |
| Fate | Killed in Action |
| Place of burial | Warlelncourt British Cemetery (Plot VL, Row A, Grave No. 23), France |
| Panel number, Roll of Honour, Australian War Memorial | 106 |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |