| Regimental number | 12417 |
| Place of birth | Collingwood V |
| Religion | Church of England |
| Occupation | Art gold stamper |
| Address | 348 Rae Street, North Fitzroy, Victoria |
| Marital status | Married |
| Age at embarkation | 37 |
| Next of kin | Wife, Mrs B E Thompson, 348 Rae Street, North Fitzroy, Victoria |
| Enlistment date | 14 February 1916 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 10 |
| AWM Embarkation Roll number | 26/53/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on 20 June 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 10th Field Ambulance |
| Fate | Returned to Australia 17 March 1917 |
