| Regimental number | 830 |
| Place of birth | Emerald Hill, Victoria |
| Religion | Church of England |
| Occupation | Plasterer |
| Address | 4 Appleton Street, Burnely, Victoria |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs Mary Davis, 4 Appleton Street, Burnley, Victoria |
| Enlistment date | 5 February 1915 |
| Date of enlistment from Nominal Roll | 2 February 1915 |
| Rank on enlistment | Private |
| Unit name | 21st Battalion, D Company |
| AWM Embarkation Roll number | 23/38/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 10 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 21st Battalion |
| Fate | Returned to Australia 4 May 1917 |
