| Regimental number | 19673 |
| Place of birth | London England |
| Religion | Baptist |
| Occupation | Qualified Chemist |
| Address | Perth, Western Australia |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs E M Davies, 284 Fitzgerald Street, North Perth, Western Australia |
| Enlistment date | 13 August 1917 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Staff Sergeant Dispensers |
| AWM Embarkation Roll number | 26/108/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A55 Kyarra on 17 September 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
