| Regimental number | 2317 |
| Place of birth | Newcastle New South Wales |
| Religion | Baptist |
| Occupation | Miner |
| Address | Young Road, Lambton, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, James Davies, Young Road, Lambton, New South Wales |
| Previous military service | 16th Infantry |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 109 Date: |