| Regimental number | 50750 |
| Religion | Baptist |
| Occupation | Carter |
| Address | Park Street, Ipswich, Queensland |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs C Davis, Park Street, Ipswich, Queensland |
| Enlistment date | 6 April 1918 |
| Rank on enlistment | Private |
| Unit name | Queensland Reinforcement 1 |
| AWM Embarkation Roll number | 23/111/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Osterley on 8 May 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 14th Depot Unit of Supply |
| Fate | Returned to Australia 1 August 1919 |