| Regimental number | 419 |
| Place of birth | Taranaki, New Zealand |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Brisbane GPO, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Sister, Mrs Sarah Davis, Flinders Street, Melbourne, Victoria |
| Enlistment date | 21 July 1916 |
| Place of enlistment | Brisbane, Queensland |
| Rank on enlistment | Private |
| Unit name | Machine Gun Company 11, Reinforcement 5 |
| AWM Embarkation Roll number | 24/16/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Machine Gun Company |
| Fate | Returned to Australia 31 October 1917 |
