| Regimental number | 3787 |
| Place of birth | Liverpool England |
| Religion | Church of England |
| Occupation | Storeman |
| Address | 21 Franklin Street, Glebe, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs M M Davies, 21 Franklin Street, Glebe, New South Wales |
| Enlistment date | 2 November 1915 |
| Date of enlistment from Nominal Roll | 2 October 1915 |
| Rank on enlistment | Acting Corporal |
| Unit name | 19th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 20 January 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 25 August 1917 |
