| Regimental number | 6905 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Optician |
| Address | 136 Johnston Street, Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs R Thomas, 136 Johnston Street, Fitzroy, Victoria |
| Enlistment date | 20 June 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 38th Battalion |
| Fate | Returned to Australia 24 August 1918 |
