| Regimental number | 2139 |
| Religion | Church of England |
| Occupation | Blacksmith |
| Address | c/o Mrs Annie Davis, Sword Street off Logan Road, South Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Sister, Mrs Isabella Langford, Broadleigh Street, Brisbane, Queensland |
| Enlistment date | 26 July 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/42/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A26 Armadale on 18 September 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
