| Regimental number | 31601 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Port Pirie, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, O Thomas, Railway Station, Petersburg, South Australia |
| Previous military service | 81st Infantry |
| Enlistment date | 6 March 1916 |
| Rank on enlistment | Driver |
| Unit name | Field Artillery Brigade 6, Reinforcement 12 |
| AWM Embarkation Roll number | 13/34/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Orontes on 23 December 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
