| Regimental number | 3123 |
| Place of birth | Sydney New South Wales |
| Religion | Roman Catholic |
| Occupation | Electrical mechanic |
| Address | 4 Ennis Street, Balmain, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A Shaw, 4 Ennis Street, Balmain, Sydney, New South Wales |
| Enlistment date | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 8 October 1915 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 1 April 1917 |