| Regimental number | 5675 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | C/o G Grant, Allambama, Collinroobie, via Narrandera, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs E Davis, 31 Trinder Road, Crouch Hill, Finsbury Park, London, England |
| Enlistment date | 14 March 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A55 Kyarra on 3 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 1 November 1917 |
