| Regimental number | 1539 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Soldier |
| Address | Mascot, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs P M Shaw, c/o A Laycock, Coward Street, Mascot, New South Wales |
| Previous military service | Royal Australian Garrison Artillery |
| Enlistment date | 4 July 1918 |
| Rank on enlistment | Gunner |
| Unit name | Heavy Artillery Group 36, Reinforcement 21 |
| AWM Embarkation Roll number | 13/49/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Miscellaneous details (Nominal Roll) | nonrr |
