| Regimental number | 4685 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Chelsea Road, Chelsea, Victoria |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs Christina Isabella Davis, Chelsea Road, Chelsea, Victoria |
| Enlistment date | 6 March 1916 |
| Rank on enlistment | Private |
| Unit name | 24th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/41/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on 4 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
