| Regimental number | 5410 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Friezland via Cloncurry, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs H Davis, PO, Friezland, North West Queensland |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/29/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Hawkes Bay on 20 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Date of death | 29 November 1946 |
| Place of burial | Lutwyche Cemetery |
