| Regimental number | 6641 |
| Place of birth | Lilydale, Victoria |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | 386 Smith Street, Collingwood, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Ct Davies, 386 Smith Street, Collingwood, Victoria |
| Enlistment date | 22 May 1916 |
| Date of enlistment from Nominal Roll | 24 May 1916 |
| Rank on enlistment | Private |
| Unit name | 14th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/31/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Motor Transport Company |
| Fate | Effective abroad (still overseas) |
