| Regimental number | 67017 |
| Place of birth | Charters Towers Queensland |
| Religion | Methodist |
| Occupation | Plumber |
| Address | 9 Bonner Avenue, Manly, New South Wales |
| Age at embarkation | 19 |
| Next of kin | Father, F Thomas, 36 Whistler Road, Manly, New South Wales |
| Previous military service | 2nd Battalion 17th Infantry |
| Enlistment date | 31 May 1918 |
| Rank on enlistment | Private |
| Unit name | New South Wales Reinforcement 23 |
| AWM Embarkation Roll number | 23/111/6 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Wyreema on 14 October 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |