| Regimental number | 1372 |
| Place of birth | Northampton |
| Religion | Presbyterian |
| Occupation | Soldier |
| Address | Franklin Street, Eaglehawk, Victoria |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Mrs F Davis, Franklin Street, Eaglehawk, Victoria |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 2, Brigade Ammunition Column |
| AWM Embarkation Roll number | 13/30/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A27 Southern on |