| Regimental number | 3497 |
| Place of birth | Pembrokeshire South Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Heddongreta via West Maitland, New South Wales |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Susan Ethel Davies, Heddongreta via West Maitland, New South Wales |
| Enlistment date | 6 April 1916 |
| Rank on enlistment | Sapper |
| Unit name | August 1916 Reinforcements |
| AWM Embarkation Roll number | 16/14/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Regimental number from Nominal Roll | 3497A |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | Tunnelling Companies |
| Fate | Returned to Australia 4 May 1917 |
