| Regimental number | 3004 |
| Place of birth | Wellington New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Yeoval via Wellington, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, James Thomas, Yeoval PO, Yeoval via Wellington, New South Wales |
| Enlistment date | 12 August 1916 |
| Rank on enlistment | Private |
| Unit name | 45th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/62/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 31 March 1919 |
