| Regimental number | 4340 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Horse driver |
| Address | 60 Ainshurst Street, North Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs R Shaw, 60 Ainshurst Street, North Sydney, New South Wales |
| Enlistment date | 12 October 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A6 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 28 March 1919 |
