| Regimental number | 4764 |
| Place of birth | Middlesboro England |
| Religion | Baptist |
| Occupation | Labourer |
| Address | 22 Langtree Avenue, Auburn, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Brother, Mrs S J Davies Addres, Unknown J Davies, 22 Langtree Avenue, Auburn, Sydney, New South Wales |
| Enlistment date | 18 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 57th Battalion |
| Fate | Returned to Australia 24 July 1917 |
