| Regimental number | 19874 |
| Place of birth | Boorowa New South Wales |
| Religion | Church of England |
| Occupation | Station overseer |
| Address | Cunningham, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M A Davidson, Cunningham Plains, Cunningham, New South Wales |
| Enlistment date | 13 November 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia 5 September 1919 |