| Regimental number | 2021 |
| Place of birth | Melbourne Victoria |
| Religion | Church of England |
| Occupation | Waiter |
| Address | 2 Kidman Terrace, East Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 41 |
| Next of kin | Wife, Mrs Thompson, 2 Kidman Terrace, East Sydney, New South Wales |
| Enlistment date | 14 June 1915 |
| Rank on enlistment | Private |
| Unit name | 19th Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/36/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 9 August 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 19th Battalion |
| Fate | Returned to Australia 10 June 1916 |
