| Regimental number | 7417 |
| Place of birth | Kadina South Australia |
| Religion | Church of England |
| Occupation | Carpenter |
| Address | c/o Cobbledick and Co, Geraldton, Western Australia |
| Marital status | Married |
| Age at embarkation | 44 |
| Next of kin | Wife, Mrs Harriet Maud Thomas, 50 Barker Street Ballarat East, Victoria |
| Enlistment date | 14 August 1915 |
| Rank on enlistment | Sergeant |
| Unit name | Army Medical Corps Sanitary Section |
| AWM Embarkation Roll number | 26/72/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A23 Suffolk on 6 December 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | 5th Field Ambulance |
| Fate | Returned to Australia 11 January 1918 |