| Regimental number | 3774 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Hairdresser |
| Address | Bowral, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Amy Florence Shaw, The Rye, Bowral, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/72/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A14 Euripides on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
