| Regimental number | 1112 |
| Place of birth | Warrnambool Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 46 Murchison Street, North Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Jane B Davies, 46 Murchison Street, North Carlton, Victoria |
| Enlistment date | 5 July 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Light Horse Regiment, 5th Reinforcement |
| AWM Embarkation Roll number | 10/18/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A70 Ballarat on 9 September 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Division Ammunition Column |
| Fate | Returned to Australia 5 April 1919 |
