| Regimental number | 4172 |
| Place of birth | Pembroke Wales |
| Religion | Church of England |
| Occupation | Tailor |
| Address | Wonga, 80 Wellington Street, Bondi, New South Wales |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs. A.E.M. Davies, 80 Wellington Street, Bondi, New South Wales |
| Enlistment date | 27 September 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/20/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Depot Unit of Supply |
| Fate | Returned to Australia 19 April 1919 |
