| Regimental number | 17058 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Charlotte Sarah Davis, 18 Eli Place, off Halifax Street, Adelaide, South Australia |
| Previous military service | 76th Infantry |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Divisional Signal Company 5, Engineer Reinforcements 10 |
| AWM Embarkation Roll number | 22/15/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Omrah on |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 5th Divisional Signal Company |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Centennial Park Cemetery |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
