| Regimental number | 403 |
| Place of birth | Greta New South Wales |
| Religion | Methodist |
| Occupation | Miner |
| Address | C/o Mr J Kaiser, Senr., West Wallsend, New South Wales |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Father, John Davies, Price Street, Greta, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 34th Battalion, B Company |
| AWM Embarkation Roll number | 23/51/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
