| Regimental number | 4023 |
| Place of birth | Llansadwen Wales |
| Religion | Congregational |
| Occupation | Farmer |
| Address | P O Crookwell, Crookwell, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, Lewis Morgan Davies, 'Foshwaid', Mansadwin, Manwaido, Carmanthenshire Wales, England |
| Enlistment date | 2 June 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 22 September 1919 |