| Regimental number | 4765 |
| Place of birth | Woy Woy New South Wales |
| Religion | Church of England |
| Occupation | Bushman |
| Address | Sorrento, Davistown, Woy Woy, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, A Davis, Davistown, Woy Woy, New South Wales |
| Enlistment date | 21 August 1915 |
| Rank on enlistment | Private |
| Unit name | 2nd Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/19/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A15 Star of England on 8 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia 1 August 1919 |
