| Regimental number | 4902 |
| Place of birth | Mount Egerton Victoria |
| Religion | Baptist |
| Occupation | Labourer |
| Address | 6 Batman Street, West Footscray, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M Thomas, Batman Street, West Footscray, Victoria |
| Enlistment date | 13 July 1915 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A18 Wiltshire on 7 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia 19 February 1919 |
