| Regimental number | 5698 |
| Place of birth | Brecon |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | Kojonup, Western Australia |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Father, W Davis, 19 Ella Street, Leeds, Yorkshire, England |
| Enlistment date | 25 September 1915 |
| Rank on enlistment | Gunner |
| Unit name | Field Artillery Brigade 3, Reinforcement 11 |
| AWM Embarkation Roll number | 13/31/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 12th Field Artillery Brigade |
| Fate | Returned to Australia 8 January 1919 |
