| Regimental number | 506 |
| Place of birth | London England |
| Religion | Baptist |
| Occupation | Carpenter |
| Address | c/o Mr Davis, The Rock, Redcliffe Canterbury, New Zealand |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Sister, Lily Wells c/o Mrs Davis, The Rock, Redcliffe Canterbury, New Zealand |
| Enlistment date | 1 February 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, B Company |
| AWM Embarkation Roll number | 23/34/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on 12 May 1915 |
| Regimental number from Nominal Roll | 4034 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Field Company Engineers |
| Fate | Returned to Australia 2 January 1919 |