| Regimental number | 21904 |
| Occupation | Farm labourer |
| Next of kin | Father, F Shaw, Broughton Street, Gore |
| Rank on embarkation | Rifleman |
| Unit name | New Zealand Expeditionary Force, New Zealand Rifle Brigade, 7th Reinforcements to 3rd Battalion, G Company |
| Embarkation details | Unit embarked from Wellington on board HMNZT 62 Mokoia on |
| Final rank | Rifleman |
| Final unit | 4th Battalion, New Zealand Rifle Brigade |
| Fate | Killed in Action |
| Place of burial | Belgian Battery Corner Cemetery (Plot I, Row N, Grave No 10), nr Ieper, Belgium |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Sources | Nominal Roll Vol. 2: Roll 38, p. 36 |