| Regimental number | 4111 |
| Date of birth | |
| Place of birth | Clermont, Queensland |
| Religion | Methodist |
| Occupation | Bushman |
| Address | Rockhampton, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Jane Davis, Mungana, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/42/3 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT Commonwealth on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Trench Mortar Battery |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
War service: Western Front War service: 3 years 344 days, of which 3 years 102 days were abroad. Medals: British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Toowong Cemetery, Brisbane, Queensland |