| Regimental number | 3076 |
| Place of birth | Maldon, Victoria |
| Religion | Baptist |
| Occupation | Conductor |
| Address | High Street, Maldon, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Susan Davis, High Street, Maldon, Victoria |
| Enlistment date | 9 August 1915 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/44/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A7 Medic on 12 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 27th Battalion |
| Fate | Returned to Australia 17 August 1916 |