| Regimental number | 12608 |
| Place of birth | Port Augusta, South Australia |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Donnybrook, Clare, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs S A Davis, Donnybrook, Clare, South Australia |
| Previous military service | 24th A L H |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |