| Regimental number | 3079 |
| Place of birth | Footscray, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 351 Spencer Street, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs A Davis, 101 Lothian Street, North Melbourne, Victoria |
| Enlistment date | 30 July 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/38/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 18 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 13 April 1919 |
