| Regimental number | 1943 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Eileen Davies, 29 Forsythe Street ,Glebe, New South Wales |
| Marital status | Married |
| Age at embarkation | 21 |
| Next of kin | Wife, Mrs Eileen Davies, 29 Forsythe Street, Glebe, New South Wales |
| Enlistment date | 2 February 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/18/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 25 June 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
