| Regimental number | 15781 |
| Place of birth | Mansfield England |
| Religion | Church of England |
| Occupation | Grazier |
| Address | Granville, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs Alice Maude Shaw, Brighton, Maude Street, Granville, Sydney, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Sapper |
| Unit name | October 1916 Reinforcements |
| AWM Embarkation Roll number | 14/42/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 4th Field Company Engineers |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
