| Regimental number | 3957 |
| Religion | Church of England |
| Occupation | Baker |
| Address | 112 Forest Street, Bendigo, Victoria |
| Marital status | Married |
| Age at embarkation | 40 |
| Next of kin | Wife, Mrs A L Thomas, 112 Forest Street, Bendigo, Victoria |
| Enlistment date | 23 July 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/22/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A40 Ceramic on 23 November 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
