| Regimental number | 1042 |
| Place of birth | Pwllheli England |
| Religion | Methodist |
| Occupation | Sailor |
| Address | 73 September Road, Liverpool, England |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Hannah Davies, 73 September Road, Liverpool, England |
| Enlistment date | 14 December 1914 |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 7th Reinforcement |
| AWM Embarkation Roll number | 10/13/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A57 Malakuta on 23 September 1915 |
| Regimental number from Nominal Roll | 21245 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Camel Corps |
| Fate | Effective abroad (still overseas) |
