| Regimental number | 2964 |
| Place of birth | Newcastle New South Wales |
| Religion | Church of England |
| Occupation | Salesman |
| Address | 'Briarfields', Park Road, Burwood, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs R Thomas, 'Briarfields', Park Road, Burwood, Sydney, New South Wales |
| Enlistment date | 30 March 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Field Ambulance |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A31 Ajana on 31 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia 22 February 1917 |