| Regimental number | 9721 |
| Religion | Church of England |
| Occupation | Poultry farmer |
| Address | Manly, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs J L Thomas, Condamine Street, Manly, New South Wales |
| Enlistment date | 13 September 1915 |
| Rank on enlistment | Private |
| Unit name | Dermatological Hospital, 3rd Reinforcement |
| AWM Embarkation Roll number | 26/103/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 1st Australian Dermatological Hospital |
| Fate | Returned to Australia 12 June 1919 |
