| Regimental number | 2557 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 8 Greenway Street, Wickham, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Rebecca Davies, 8 Greenway Street, Wickham, New South Wales |
| Enlistment date | 23 May 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/53/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 36th Battalion |
| Fate | Returned to Australia 31 October 1917 |