| Regimental number | 21399 |
| Place of birth | Adelaide, South Australia |
| Religion | Methodist |
| Occupation | Soldier |
| Address | John Street, North Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Dorothy Rose Davey, John Street, North Fremantle, Western Australia |
| Previous military service | RAE |
| Enlistment date | 15 January 1918 |
| Rank on enlistment | Sergeant |
| Unit name | Special Draft |
| AWM Embarkation Roll number | 14/42/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A18 Wiltshire on 2 February 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
