| Regimental number | 404 |
| Place of birth | Newcastle Northumberland |
| Religion | Methodist |
| Occupation | Bricklayer |
| Address | Bunker Road, Adamstown, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, William Davies, Bunker Road, Adamstown, New South Wales |
| Enlistment date | 18 July 1915 |
| Date of enlistment from Nominal Roll | 18 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 | Bombardier |
| Unit from Nominal Roll | 5th Division Artillery |
| Fate | Returned to Australia 20 December 1917 |
