| Regimental number | 1895 |
| Place of birth | Carroll New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 4 Cove Terrace, Bourke Street, Goulburn, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Deborah Davis, 4 Cove Terrace, Bourke Street, Goulburn, New South Wales |
| Enlistment date | 15 January 1916 |
| Rank on enlistment | Private |
| Unit name | 55th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/72/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A37 Barambah on 23 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 55th Battalion |
| Fate | Returned to Australia 2 June 1919 |