| Regimental number | 200 |
| Place of birth | Dolgellau, Wales |
| Religion | Church of England |
| Occupation | Grocer |
| Address | c/o Mrs Nation, Dewhurst Street, Narrabri, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Height | 5' 6" |
| Weight | 136 lbs |
| Next of kin | Mother, Mrs Davies, 9 Avenue House, St. John's Wood, London, NW, England |
| Enlistment date | 22 August 1914 |
| Place of enlistment | Sydney, New South Wales |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/6/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star of Victoria on 20 October 1914 |
| Regimental number from Nominal Roll | 3077A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 13 March 1919 |
