| Regimental number | 12182 |
| Place of birth | Lancaster England |
| Religion | Methodist |
| Occupation | Labourer |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs A Davies, 79 Clive Road, Barry Island, Glenmorganshire, South Wales, England |
| Enlistment date | 2 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 6, Reinforcement 3 |
| AWM Embarkation Roll number | 13/34/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 28 January 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 20 May 1919 |
