| Regimental number | 4801 |
| Place of birth | Stawell, Victoria |
| Religion | Methodist |
| Occupation | Miner |
| Address | Ware Street, Boulder, Western Australia |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mother, Mrs E Davis, 77 Vivian Street, Boulder, Western Australia |
| Enlistment date | 10 January 1916 |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/33/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A38 Ulysses on 1 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 48th Battalion |
| Fate | Returned to Australia 27 September 1917 |
