| Regimental number | 6849 |
| Place of birth | Maryborough Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Maryborough, Queensland |
| Marital status | Married |
| Age at embarkation | 36 |
| Next of kin | Wife, Mrs Margaret Ann Thomsen, Bazaar Street, Maryborough, Queensland |
| Enlistment date | 27 April 1917 |
| Date of enlistment from Nominal Roll | 27 March 1917 |
| Rank on enlistment | Private |
| Unit name | 26th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/43/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 14 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 26th Battalion |
| Fate | Returned to Australia 30 January 1918 |