| Regimental number | 5965 |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Driver |
| Address | 1 Canning Street, East Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Jane Davis, Canning Street, East Brunswick, Victoria |
| Enlistment date | 12 September 1916 |
| Date of enlistment from Nominal Roll | 25 September 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 20 November 1918 |
