| Regimental number | 3658 |
| Place of birth | Swansea Wales |
| Religion | Non-Conformist |
| Occupation | Labourer |
| Address | Prince Street, Nambour, Queensland |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Bessie Thomas, Prince Street, Nambour, Queensland |
| Enlistment date | 23 August 1915 |
| Rank on enlistment | Private |
| Unit name | 25th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/42/2 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A55 Kyarra on 3 January 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Pioneer Battalion |
| Fate | Returned to Australia 20 May 1919 |
