| Regimental number | 31636 |
| Place of birth | North Wales |
| Religion | Methodist |
| Occupation | Clerk |
| Address | Newcastle Road, Midland Junction, Western Australia |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs R Davies, Newcastle Road, Midland Junction, Western Australia |
| Enlistment date | 14 February 1916 |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 24, Reinforcement 9 |
| AWM Embarkation Roll number | 13/134/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 23 December 1916 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 7th Field Artillery Brigade |
| Fate | Effective abroad (still overseas) |
