| Regimental number | 4876 |
| Religion | Presbyterian |
| Occupation | Labourer |
| Address | 18 Roy Street, Mount Lawley, Western Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Ann Gibson Thompson, 18 Roy Street, Mount Lawley, Western Australia |
| Enlistment date | 6 May 1915 |
| Rank on enlistment | Private |
| Unit name | 1st Australian General Hospital, Special Reinforcements (Hospital and Convalescent Home) |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A62 Wandilla on 25 June 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |