| Regimental number | 6857 |
| Place of birth | Sebastpol, Victoria |
| Religion | Methodist |
| Occupation | Labourer |
| Address | South Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs M Davies, Piper Street off Roskwell Street, South Broken Hill, New South Wales |
| Enlistment date | 7 September 1916 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on 7 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Battalion |
| Fate | Returned to Australia 1 August 1919 |