
| Regimental number | 14071 |
| Place of birth | Ballarat Victoria |
| Religion | Methodist |
| Occupation | Typewriter |
| Address | 16 Errard Street, North Ballarat, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs A Thomas, 16 Errard Street, North Ballarat, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Australian Casualty Clearing Station |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Casualty Clearing Station |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 19 Date: |