| Regimental number | 30253 |
| Place of birth | Sydney New South Wales |
| Religion | Methodist |
| Occupation | Storeman |
| Address | 74 Alice Street, Auburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Father, J T Shaw, 74 Alice Street, Auburn, New South Wales |
| Enlistment date | 4 September 1916 |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 2, Reinforcement 11 |
| AWM Embarkation Roll number | 25/90/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 3rd Field Artillery Brigade |
| Fate | Returned to Australia No date of fate entered on Nom |
