| Regimental number | 6125 |
| Place of birth | Knighton England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Cootamundra PO, Cootamundra, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs Elizabeth Thomas, Westhide, Couch, Hereford, England |
| Enlistment date | 9 October 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 31 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23rd Battalion |
| Fate | Returned to Australia 8 September 1919 |
