| Regimental number | 4775 |
| Place of birth | Gunbower Victoria |
| Religion | Church of England |
| Occupation | Engine driver |
| Address | State Savings Bank, Elizabeth Street, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Louise Eliz. Thaw, 42 Smith Street, Manly, New South Wales |
| Enlistment date | 20 September 1915 |
| Date of enlistment from Nominal Roll | 29 July 1915 |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 10th Reinforcement |
| AWM Embarkation Roll number | 23/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Regimental number from Nominal Roll | 4775A |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | Australian Flying Corps |
| Fate | Returned to Australia 20 June 1919 |
