| Regimental number | 6550 |
| Place of birth | Herberton Queensland |
| Religion | Roman Catholic |
| Occupation | Mill hand |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M Davis, Kellerberrin, Western Australia |
| Enlistment date | 25 March 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on 10 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 1 June 1919 |
