| Regimental number | 569 |
| Place of birth | Richmond, Victoria |
| Religion | Wesleyan |
| Occupation | Iron moulder |
| Address | Orrong Road, Elsternwick, Victoria |
| Marital status | Single |
| Age at embarkation | 36 |
| Next of kin | Mother, Mrs Davison, Orrong Road, Elsternwick, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, E Company |
| AWM Embarkation Roll number | 23/31/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board A38 Ulysses on |