| Regimental number | 38958 |
| Place of birth | Tylorstown Wales |
| Religion | Church of England |
| Occupation | Fireman |
| Address | City Road, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Elsie Davies, 66 Speight Street, Newport, Victoria |
| Enlistment date | 9 May 1917 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade, Reinforcement 33 |
| AWM Embarkation Roll number | 13/128/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board SS Indarra on 26 November 1917 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 4th Division Ammunition Column |
| Fate | Returned to Australia 10 April 1919 |
