
| Regimental number | 25644 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Keiraville, Wollongong, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Mrs D I Davis, Rosemont Street, Wollongong, New South Wales |
| Previous military service | AGA |
| Enlistment date | |
| Rank on enlistment | Gunner |
| Unit name | Divisional Ammunition Column 4, Reinforcement 4 |
| AWM Embarkation Roll number | 25/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 10th Field Artillery Brigade |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 61 Date: |