| Regimental number | 1638 |
| Place of birth | Newstead, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Newstead, Victoria |
| Marital status | Single |
| Age at embarkation | 38 |
| Next of kin | Mother, Mrs Mary J Davies, Castlemaine, Victoria |
| Enlistment date | 17 February 1916 |
| Rank on enlistment | Private |
| Unit name | 39th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/56/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on 27 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 39th Battalion |
| Fate | Returned to Australia 20 November 1918 |
