| Regimental number | 6403 |
| Place of birth | Maitland, South Australia |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs P C Daw, Esperance, Western Australia |
| Enlistment date | 8 November 1916 |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A35 Berrima on 23 December 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 41st Battalion |
| Fate | Returned to Australia 12 December 1918 |
