| Regimental number | 5499 |
| Place of birth | Sydney New South Wales |
| Religion | Baptist |
| Occupation | Engineer |
| Address | 4 Alfred Street, Leichhardt, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs L L Davies, 4 Alfred Street, Leichhardt, New South Wales |
| Enlistment date | |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 1, Reinforcement 11 |
| AWM Embarkation Roll number | 13/29/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on |
| Rank from Nominal Roll | Bombardier |
| Unit from Nominal Roll | 1st Field Artillery Brigade |
| Recommendations (Medals and Awards) |
Military Medal (Awarded) Devotion to duty in maintaining telephone communications at Pozieres. Recommendation date: |
| Fate | Effective abroad (still overseas) |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 62 Date: |