| Regimental number | 3478 |
| Place of birth | Millthorpe New South Wales |
| Religion | Roman Catholic |
| Occupation | Salesman |
| Address | Moore Park, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, J Theobald, 497 Dowling Street, Moore Park, New South Wales |
| Enlistment date | 8 May 1917 |
| Rank on enlistment | Private |
| Unit name | 59th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/76/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on 16 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 37th Battalion |
| Fate | Returned to Australia 10 December 1918 |
