| Regimental number | 5573 |
| Place of birth | Sydney New South Wales |
| Religion | Congregational |
| Occupation | Shearer |
| Address | Isisford PO, Isisford, Queensland |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs M Thomas, 68 Pitt Street, Redfern, Sydney, New South Wales |
| Enlistment date | 28 January 1916 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT SS Hawkes Bay on 20 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 15th Battalion |
| Fate | Returned to Australia 12 May 1919 |