| Regimental number | 12681 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Semaphore Road, Exeter, South Australia |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Mother, Mrs Mary Thomas, c/o Mrs H O Brentzell, Semaphore Road, Exeter, South Australia |
| Enlistment date | 24 January 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Field Ambulance |
| AWM Embarkation Roll number | 26/54/1 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Field Ambulance |
| Fate | Returned to Australia 12 July 1919 |
