| Regimental number | 740 |
| Religion | Methodist |
| Occupation | Farmer |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | F Davis, Abuklea Street, Wilston, Brisbane, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, E Company |
| AWM Embarkation Roll number | 23/32/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board Transport A40 Ceramic on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |