| Regimental number | 4186 |
| Place of birth | Hollywell England |
| Religion | Church of England |
| Occupation | Fireman |
| Address | Brisbane, Queensland |
| Marital status | Married |
| Age at embarkation | 24 |
| Next of kin | Wife, Mrs E Davies, C/o Mrs A Robbins, Annie Street, Torwood, Brisbane, Queensland |
| Enlistment date | 2 October 1915 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/26/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 3 January 1916 |
| Regimental number from Nominal Roll | 5101 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Returned to Australia 25 March 1919 |
