| Regimental number | 410 |
| Place of birth | Walstown Wales |
| Religion | Church of England |
| Occupation | Miner |
| Address | Hunter Street, Newcastle, New South Wales |
| Marital status | Single |
| Age at embarkation | 32 |
| Next of kin | Father, William Davies, 52 Jubilee Terrace, Newtneedigger, Monmouthshire, England |
| Enlistment date | 29 July 1915 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, B Company |
| AWM Embarkation Roll number | 23/47/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 9 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Discharged 12 June 1917 |
