| Regimental number | 20181 |
| Religion | Church of England |
| Occupation | Rigger and sailmaker |
| Address | Lister Street, South Preston, Victoria |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mother, Mrs G Shaw, 'Brockley', Osborne Road, South Farnborough, Hampshire, England |
| Enlistment date | 10 February 1916 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 8, Battery 32 |
| AWM Embarkation Roll number | 13/36/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Miscellaneous details (Nominal Roll) | nomr |