| Regimental number | 5577 |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | Shepparton PO, Shepparton, Victoria |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Mary Ann Davis, Syrlsdale, Shepparton PO, Shepparton, Victoria |
| Enlistment date | 13 March 1916 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A9 Shropshire on 25 September 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |