| Regimental number | 6611 |
| Place of birth | Daylesford, Victoria |
| Religion | Methodist |
| Occupation | Milk carter |
| Address | 4 Inverness Avenue, Malvern, Victoria |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs R J Thomas, 4 Inverness Avenue, Malvern, Victoria |
| Enlistment date | 16 August 1916 |
| Place of enlistment | Melbourne, Victoria |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 2 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Fate | Returned to Australia 4 July 1919 |
