| Regimental number | 5239 |
| Religion | Methodist |
| Occupation | Labourer |
| Address | 9 Barkley Street, Ballarat East, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs R E Thomas, 9 Barkley Street, Ballarat, Victoria |
| Enlistment date | 22 January 1916 |
| Rank on enlistment | Private |
| Unit name | 8th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/25/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A23 Suffolk on 1 April 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
