| Regimental number | 6563 |
| Place of birth | Carmarthan Wales |
| Religion | Church of England |
| Occupation | Horse driver |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mrs Margaret Thomas, Pankybowyn, Croesyceilog, Carmarthen, South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Driver |
| Unit name | Infantry Brigade Train 7, Company 17 |
| AWM Embarkation Roll number | 25/36/1 |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A36 Melbourne on |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 17th Company, Australian Army Service Corps |
| Fate | Discharged |
| Medals |
Croix de Guerre (Belgium) Source: 'Commonwealth Gazette' No. 185 Date: |
| Other details | Medals: Croix de Guerre, 1914-15 Star, British War Medal, Victory Medal |