| Regimental number | 2027 |
| Place of birth | Brisbane Queensland |
| Religion | Church of England |
| Occupation | Fitter and turner |
| Address | c/o Simblok Mfg Co, Macaulay Road, Kensington, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs G V Davis, Marco Polo Street, Essendon, Victoria |
| Enlistment date | 3 January 1916 |
| Rank on enlistment | Private |
| Unit name | 57th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/74/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A31 Ajana on 8 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 8 January 1919 |
