| Regimental number | 1039 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Harness maker |
| Address | Stanmore, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs L L Shaw, 74 Hawthorne Parade, Haberfield, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Veterinary Corps - March 1917 Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Port Sydney on |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | A Mounted Division Train |
| Fate | Returned to Australia |
| Other details | Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
