| Regimental number | 1382 |
| Place of birth | Leicester England |
| Religion | Church of England |
| Occupation | Pipe layer |
| Address | Sproule Street, Lakemba, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs E Davis, Sproule Street, Lakemba, New South Wales |
| Enlistment date | 12 June 1916 |
| Rank on enlistment | Private |
| Unit name | Light Trench Mortar Battery, Reinforcement 3 |
| AWM Embarkation Roll number | 13/130/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A11 Ascanius on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 3 July 1919 |
