| Regimental number | 1907 |
| Place of birth | Welshpool Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Montefiores Street, Wellington, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Matilda Davies, 12 Raven Street, Welshpool, Montgomeryshire, Wazles |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 54th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/71/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A37 Barambah on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 56th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
