| Regimental number | 2242 |
| Place of birth | North Melbourne, Victoria |
| Religion | Church of England |
| Occupation | Fitter |
| Address | 257 Adderley Street, West Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Cousin, Mrs Victoria Davies, 434 Adderley Street, West Melbourne, Victoria |
| Enlistment date | 5 June 1915 |
| Rank on enlistment | Sapper |
| Unit name | 2nd Field Company Engineers, Reinforcement 11 |
| AWM Embarkation Roll number | 14/21/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 9 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps Details |
| Fate | Returned to Australia 8 May 1915 |
