| Regimental number | 5017 |
| Place of birth | Shropshire England |
| Religion | Church of England |
| Occupation | Upholsterer |
| Address | Kalgoorlie, Western Australia |
| Marital status | Single |
| Age at embarkation | 34 |
| Next of kin | Mother, Mrs Mary Ann Thomas, 17 Woden Road, Wolverhampton, England |
| Enlistment date | 7 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Company 6, Reinforcement 1 |
| AWM Embarkation Roll number | 16/12/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A69 Warilda on 1 June 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 3rd Tunnelling Company |
| Fate | Discharged 13 May 1919 |