| Regimental number | 1613 |
| Place of birth | Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Barton Street, Kurri Kurri, New South Wales |
| Marital status | Single |
| Age at embarkation | 42 |
| Next of kin | Sister, Mrs Gwen Davies, Lloyde Bank, Rhymney, Monmouthshire, Wales, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 34th Battalion, Headquarters |
| AWM Embarkation Roll number | 23/51/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
