| 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 | 8 February 1916 |
| 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 2 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 34th Battalion |
| Fate | Returned to Australia 19 April 1919 |
