| Regimental number | 9613 |
| Place of birth | Mile End, South Australia |
| Religion | Church of England |
| Occupation | Draftsman |
| Address | Euston Terrace, Croydon, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Mother, Mrs Harriett Davies, Euston Terrace, Croydon, Adelaide, South Australia |
| Enlistment date | 22 October 1915 |
| Rank on enlistment | Sapper |
| Unit name | 11th Field Company Engineers, Section 1 |
| AWM Embarkation Roll number | 14/30/1 |
| Embarkation details | Unit embarked from Outer Harbour, Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 5th Field Company Engineers |
| Fate | Returned to Australia 31 March 1919 |
