| Regimental number | 9092 |
| Religion | Church of England |
| Occupation | Grocer |
| Address | Mrs Alice Davies, c/o Mrs Meadows, 12 James Street, Yarraville, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Alice Davies, c/o Mrs Meadows, 12 James Street, Yarraville, Victoria |
| Enlistment date | 10 July 1915 |
| Rank on enlistment | Private |
| Unit name | |
| AWM Embarkation Roll number | 26/62/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A69 Warilda on 8 February 1916 |
| Miscellaneous details (Nominal Roll) | see other |
