| Regimental number | 4075 |
| Place of birth | Gloucestershire UK |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Kootingal, New South Wales |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Eliza Davis, Westcourt, Chipping, Norton, Oxon, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on |