| Regimental number | 3073 |
| Place of birth | South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 316 Jones Street, Pyrmont, New South Wales |
| Marital status | Married |
| Age at embarkation | 38 |
| Next of kin | Wife, Mrs A Davies, 316 Jones Street, Pyrmont, New South Wales |
| Enlistment date | 11 August 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A29 Suevic on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 4 May 1917 |
