| Regimental number | 796 |
| Place of birth | Christchurch, New Zealand |
| Religion | Presbyterian |
| Occupation | Coal miner |
| Address | ... |
| Marital status | Single |
| Age at embarkation | 26 |
| Next of kin | ..., Robert Thomas, Foxton, New Zealand |
| Enlistment date | |
| Place of enlistment | Helena Vale, Western Australia |
| Rank on enlistment | Private |
| Unit name | 16th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/33/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A35 Berrima on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 61 Date: |