| Regimental number | 5216 |
| Place of birth | Wimmera Victoria |
| Religion | Church of England |
| Occupation | Clerk |
| Address | 18 Nottingham Street, Prahran, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs V L Thomas, 18 Nottingham Street, Prahran, Victoria |
| Enlistment date | 10 August 1915 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | Australian General Base Depot |
| Fate | Returned to Australia 29 May 1919 |
