| Regimental number | 3927 |
| Place of birth | Queensland |
| Occupation | Blacksmith |
| Address | 28 Dibbs Street, Alexandra, New South Wales |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Father, Mr Thomas, 28 Gibbs Street, Alexandra, New South Wales |
| Enlistment date | 7 August 1915 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/21/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A7 Medic on 30 December 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 9 September 1916 |