| Regimental number | 3769 |
| Place of birth | Goolgardie, Western Australia |
| Religion | Presbyterian |
| Occupation | Engine cleaner |
| Address | 1 17 Duggan Street, Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, 0 R Davies, 85 Forrest Street, Kalgoorlie, Western Australia |
| Enlistment date | 14 September 1915 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/28/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board RMS Mongolia on 22 November 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 17 June 1918 |