| Regimental number | 13766 |
| Date of birth | |
| Place of birth | Warwickshire, England |
| Religion | Church of England |
| Occupation | Gardener |
| Address | Concord West, New South Wales |
| Marital status | Married |
| Age at embarkation | 31 |
| Next of kin | Wife, Mrs M A Davis, c/o Miss E Walker, 'Yaralla', Concord Road, Concord West, New South Wales |
| Enlistment date | |
| Place of enlistment | Liverpool, New South Wales |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Special Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A61 Kanowna on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 3rd Australian Auxiliary Hospital |
| Fate | Returned to Australia |
| Other details |
War service: Egypt, England Medal: British War Medal |