| Regimental number | 3640 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | SAR fireman |
| Address | Strathalbyn, South Australia |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs E Thomas, Commercial Road, Strathalbyn, South Australia |
| Enlistment date | 25 November 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Pioneer Battalion, Reinforcement 9 |
| AWM Embarkation Roll number | 14/17/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A48 Seang Bee on 10 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Pioneer Battalion |
| Fate | Returned to Australia 22 July 1919 |
