| Regimental number | 3050 |
| Place of birth | Bourke New South Wales |
| Religion | Church of England |
| Occupation | Horse breaker |
| Address | 55 Alma Street, Darlington, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs. Mary Ann Davis, Yarowin Station, Marra Creek, via Brewarrina, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/11/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Karmala on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Mounted Divisional Train |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
