| Regimental number | 4784 |
| Place of birth | Hamilton, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Hamilton, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs M A Davis, Lonsdale Street, Hamilton, Victoria |
| Enlistment date | 16 July 1915 |
| Place of enlistment | Hamilton, Victoria |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A68 Anchises on 14 March 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Date of death | 28 March 1969 |
| Age at death | 78 |
| Place of burial | Warrnambool Cemetery, Victoria |
