| Regimental number | 5066 |
| Place of birth | Bulli New South Wales |
| Religion | Roman Catholic |
| Occupation | Miner |
| Address | Cambell Street Woonona, via Bulli, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, H Davis, The Pines Bulli, New South Wales |
| Enlistment date | 11 January 1916 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on 9 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Field Ambulance |
| Fate | Returned to Australia 8 September 1919 |
