| Regimental number | 4293 |
| Place of birth | Nabbeth Wales |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs E Davies, Ipswich Road, Rocklea South Coast Line near Brisbane, Queensland |
| Enlistment date | 16 August 1916 |
| Date of enlistment from Nominal Roll | 11 August 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A35 Berrima on 23 December 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Australian Corps Signal Company |
| Fate | Returned to Australia 6 July 1919 |