| Regimental number | 6729 |
| Place of birth | Newcastle New South Wales |
| Religion | Roman Catholic |
| Occupation | Labourer |
| Address | 53 Grose Street, Glebe, New South Wales |
| Marital status | Married |
| Age at embarkation | 34 |
| Next of kin | Wife, Mrs A M Davies, 19 Trafalgar Street, Annandale, New South Wales |
| Enlistment date | 6 June 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/30/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 26 September 1917 |
