| Regimental number | 67373 |
| Place of birth | Cunnamulla Queensland |
| Religion | Methodist |
| Occupation | Clerk |
| Address | 'Warra', Ocean Street, West Kogarah, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs I H P Davies, 'Warra', Ocean Street, West Kogarah, New South Wales |
| Enlistment date | 25 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 25 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
