| Regimental number | 20881 |
| Place of birth | Pembroke Wales |
| Religion | Church of England |
| Occupation | Chemist's assistant |
| Address | Fremantle, Western Australia |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs G Thomas, 34 Carnac Street, Fremantle, Western Australia |
| Enlistment date | 15 May 1917 |
| Rank on enlistment | Private |
| Unit name | No 9 Section, Sea Transport Staff |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 5 June 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |
