| Regimental number | 5769 |
| Place of birth | Birmingham England |
| Religion | Church of England |
| Occupation | Waterside worker |
| Address | 6 Ballantyne Street, Northcote, Victoria |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs R Thomas, 6 Ballantyne Street, Northcote, Victoria |
| Enlistment date | 16 March 1916 |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/24/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia 4 May 1917 |
