| Regimental number | 1274 |
| Place of birth | Bristol, England |
| Religion | Church of England |
| Occupation | Bushman |
| Address | Pioneer House, 7 Avenue Park, Maylands, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Sister, Agnes Thomas, Herbert Lodge, Cotham Park, Bristol, England |
| Enlistment date | 10 September 1914 |
| Place of enlistment | Blackboy Hill, Western Australia |
| Rank on enlistment | Private |
| Unit name | Australian Stationary Hospital 2 |
| AWM Embarkation Roll number | 26/71/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board Transport A55 Kyarra on 14 December 1914 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 14th Australian General Hospital |
| Fate | Returned to Australia 15 November 1918 |
