| Regimental number | 3619 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | People's Palace, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Esther Davis, Bute Road, Cardiff, Wales |
| Enlistment date | 16 June 1917 |
| Rank on enlistment | Private |
| Unit name | 47th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/64/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A28 Miltiades on 2 August 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 46th Battalion |
| Fate | Effective abroad (still overseas) |