| Regimental number | 19672 |
| Place of birth | Drake New South Wales |
| Religion | Methodist |
| Occupation | Qualified Chemist |
| Address | Meekatharra, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, R Davies, 1097 Hay Street, West Perth, Western Australia |
| Enlistment date | 13 January 1916 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Staff Sergeant Dispensers |
| AWM Embarkation Roll number | 26/108/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A55 Kyarra on 17 September 1917 |
| Rank from Nominal Roll | Warrant Officer (Class II) |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Returned to Australia |
