| Regimental number | 2787 |
| Place of birth | Peak Hill New South Wales |
| Religion | Church of England |
| Occupation | Dealer |
| Address | 'Bristol', 3 Thomas Street, Ashfield, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Emma Davies, 'Bristol', 3 Thomas Street, Ashfield, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 53rd Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/70/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 52nd Battalion |
| Recommendations (Medals and Awards) |
Military Medal (Awarded) Conspicuous gallantry and devotion to duty throughout whole of operations, rendering valuable services as gunner. (East of Ypres). Recommendation date: |
| Fate | Returned to Australia |