| Regimental number | 1002 |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | c/o F Theodore, Duke Street, Gympie |
| Marital status | Married |
| Age at embarkation | 28 |
| Next of kin | Wife, Mrs G A Theodore, c/o F Theodore, Duke Street, Gympie |
| Enlistment date | 3 March 1915 |
| Date of enlistment from Nominal Roll | 8 March 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, D Company |
| AWM Embarkation Roll number | 23/42/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A60 Aeneas on 29 June 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 49th Battalion |
| Fate | Returned to Australia 5 April 1919 |