| Regimental number | 9681 |
| Place of birth | Broken Hill New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Lilla Thomas, Patton Street, South Broken Hill, New South Wales |
| Enlistment date | 22 February 1916 |
| Rank on enlistment | 2nd Corporal |
| Unit name | 11th Field Company Engineers, Section 1 |
| AWM Embarkation Roll number | 14/30/1 |
| Embarkation details | Unit embarked from Outer Harbour, Adelaide, South Australia, on board HMAT A29 Suevic on 31 May 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 11th Field Company Engineers |
| Fate | Returned to Australia 12 June 1919 |
