| Regimental number | 1813 |
| Place of birth | Somerset England |
| Religion | Church of England |
| Occupation | Orchardist |
| Address | Twin Road, North Ryde, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs Pavey, 9 Vic Square, Crewkerrie, Somerset, England |
| Enlistment date | 29 December 1914 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 10 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Battalion |
| Fate | Returned to Australia 8 May 1916 |
