| Regimental number | 3922 |
| Place of birth | Cardiff Wales |
| Religion | Roman Catholic |
| Occupation | Sailor |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mrs J David, 24 Sandown Place, Cardiff, South Wales |
| Enlistment date | 3 August 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A23 Suffolk on 30 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 11 April 1916 |
