| Regimental number | 404 |
| Place of birth | Campbelltown, Tasmania |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 156 York Street, Launceston, Tasmania |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs. Mary Ann Davies, 156 York Street, Launceston, Tasmania |
| Enlistment date | 23 August 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, C Squadron |
| AWM Embarkation Roll number | 10/8/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board Transport A2 Geelong on 20 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia 3 February 1915 |
