| Regimental number | 28954 |
| Place of birth | Crewe England |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | 28 Church Street, Wickham, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs F Davies, 28 Church Street, Wickham, New South Wales |
| Enlistment date | 30 May 1916 |
| Rank on enlistment | Gunner |
| Unit name | Medium Trench Mortar Battery Reinforcement 3 |
| AWM Embarkation Roll number | 13/129/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A30 Borda on 17 October 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st Division Artillery |
| Fate | Returned to Australia 1 February 1918 |