| Regimental number | 4754 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Furnisher |
| Address | Gurney Road, Rose Park, South Australia |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs E M Davidson, 64 Brighton Road, Glenelg, South Australia |
| Enlistment date | 20 October 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Rank from Nominal Roll | S/COOK |
| Unit from Nominal Roll | no 4 Com Depot |
| Fate | Returned to Australia 9 December 1918 |
