| Regimental number | 2682 |
| Place of birth | Carnarvon North Wales |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Ann Davies, Tynant Creesvane, Llantrisant, Glamorganshire, South Wales |
| Enlistment date | 1 June 1916 |
| Rank on enlistment | Private |
| Unit name | 49th Battalion, 6th Reinforcement |
| AWM Embarkation Roll number | 23/66/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 10 January 1918 |
