| Regimental number | 40 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Loco labourer |
| Address | 136 Stanley Street, Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Sister, Edith Davis, GPO Melbourne, Melbourne, Victoria |
| Enlistment date | 5 November 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, Naval and Military Forces - Special Tropical Corps (Nov 1914) |
| AWM Embarkation Roll number | 23/112/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Eastern on 28 December 1914 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
