| Regimental number | 1049 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Mount Stedman, Gooroolba, Queensland |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Edith Davies, Mount Stedman, Gooroolba, Queensland |
| Enlistment date | 19 May 1916 |
| Rank on enlistment | Temporary SGT |
| Unit name | Australian Flying Corps, No 4 Squadron, C Flight |
| AWM Embarkation Roll number | 8/7/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Omrah on 17 January 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
