| Regimental number | 1736 |
| Place of birth | Carlton, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 9 Montrose Street, Auburn, Victoria |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Mother, Mrs Annie Davison, 9 Montrose Street, Auburn, Victoria |
| Enlistment date | 7 January 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 14 April 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 4 August 1915 |
