| Regimental number | 3076 |
| Place of birth | Kiandra New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | C/o M Thomas, West Wyalong, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Elizabeth Thomas, Signor Street, Junee, New South Wales |
| Enlistment date | 24 May 1916 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/6/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Karmala on 3 February 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Company Division Train |
| Fate | Effective abroad (still overseas) |
