| Regimental number | 3501 |
| Place of birth | Parkes New South Wales |
| Religion | Roman Catholic |
| Occupation | Fireman |
| Address | Parkes, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs Mary Davies, Parkes, New South Wales |
| Enlistment date | 18 October 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Returned to Australia 13 April 1919 |