| Regimental number | 1062 |
| Religion | Congregational |
| Occupation | Hospital attendant |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Brother, William Davis, Barkly Street, St Kilda, Victoria |
| Enlistment date | 29 July 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Naval and Military Expeditionary Force, Reinforcements (March 1915-May 1919) |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Matunga on 20 December 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |