| Regimental number | 14211 |
| Place of birth | Geelong Victoria |
| Religion | Methodist |
| Occupation | Dental assistant |
| Address | Geelong West, Victoria |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs E M Thomas, 'Chatsworth', 20 Preston Street, Geelong, Victoria |
| Enlistment date | 24 March 1916 |
| Rank on enlistment | Staff Sergeant |
| Unit name | Dental Details |
| AWM Embarkation Roll number | 26/105/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Staff Sergeant |
| Unit from Nominal Roll | Australian Army Medical Corps Dental Service |
| Fate | Returned to Australia 23 July 1919 |
