| Regimental number | 3497A |
| 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 S E Davies, Heddongreta via West Maitland, New South Wales |
| Enlistment date | 6 April 1916 |
| Rank on enlistment | Sapper |
| Unit name | No 1 Mining Corps, 4th Reinforcements |
| AWM Embarkation Roll number | 16/8/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 16 August 1916 |
| Miscellaneous details (Nominal Roll) | see other |
