| Regimental number | 21053 |
| Religion | Methodist |
| Occupation | Cook |
| Address | Abbotsford, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs C R Davis, 'Retlaw', Irene Street, Abbotsford, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, Sea Transport Staff, Section 10 (Mental) |
| AWM Embarkation Roll number | 26/104/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on |
| Regimental number from Nominal Roll | 21053 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Sea Transport Staff |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
