| Regimental number | 5003 |
| Place of birth | Tiaro Queensland |
| Religion | Baptist |
| Occupation | Labourer |
| Address | Hope Street, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, James Davies, Railway Ganger, Kinbombi, Queensland |
| Enlistment date | 14 April 1916 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/43/4 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A49 Seang Choon on 4 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia 27 September 1917 |
