| Regimental number | 4096 |
| Place of birth | Cumberland New South Wales |
| Religion | Methodist |
| Occupation | Tram guard |
| Address | Mosman, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs F E Davies, c/o Miss Mackinnon, 'Rothsay', Lower Wycombe Road, Neutral Bay, Sydney, New South Wales |
| Enlistment date | 15 November 1915 |
| Date of enlistment from Nominal Roll | 21 October 1915 |
| Rank on enlistment | Private |
| Unit name | 20th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/37/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 20th Battalion |
| Fate | Returned to Australia 9 September 1915 |