| Regimental number | 2455 |
| Place of birth | Warnertown, South Australia |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Warnertown, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs. Sophy Sophia Davies, Warnertown, via Port Pirie, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 17th Reinforcement |
| AWM Embarkation Roll number | 10/8/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A58 Kabinga on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Light Horse Regiment |
| Fate | Returned to Australia |
| Other details | Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
