| Regimental number | 5111 |
| Place of birth | Cromdu South Wales |
| Religion | Congregational |
| Occupation | Milk carter |
| Address | Willoughby, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Father, David Davies, Nenaddfach, Curundu, Brechnockshire, South Wales |
| Enlistment date | 11 April 1917 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 23/47/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A74 Marathon on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 35th Battalion |
| Fate | Returned to Australia 23 September 1919 |
