| Regimental number | 126 |
| Place of birth | Canowindra New South Wales |
| Religion | Roman Catholic |
| Occupation | Constable |
| Address | Police Barracks, Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | Mother, Mrs. L. Davis, Main Street, Lithgow, New South Wales |
| Enlistment date | 24 August 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, A Squadron |
| AWM Embarkation Roll number | 10/8/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A17 Port Lincoln on 22 October 1914 |
| Regimental number from Nominal Roll | 40 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 4th Field Artillery Brigade |
| Fate | Returned to Australia 21 December 1917 |