| Regimental number | 3067 |
| Place of birth | Leasingham South Australia |
| Religion | Methodist |
| Occupation | Farmer |
| Address | Mintaro Central, South Australia |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs. Beatrice Edith Alice Thomas, Mintaro, South Australia |
| Enlistment date | 14 September 1916 |
| Rank on enlistment | Private |
| Unit name | 9th Light Horse Regiment, 23rd Reinforcement |
| AWM Embarkation Roll number | 10/14/5 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A45 Bulla on 16 January 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
