| Regimental number | 1540 |
| Place of birth | Wollongong New South Wales |
| Religion | Church of England |
| Occupation | Seaman |
| Address | Edward Street, Wollongong, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs E Davies, Edward Street, Wollongong, New South Wales |
| Enlistment date | 10 December 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Seang Choon on 11 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 8 August 1916 |
