| Regimental number | 3403 |
| Place of birth | Fremantle Western Australia |
| Religion | Church of England |
| Occupation | Farmer |
| Address | East Street, East Fremantle, Western Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, S Thomson, East Street, East Fremantle, Western Australia |
| Enlistment date | 2 August 1915 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/29/3 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A24 Benalla on 1 November 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Effective abroad (still overseas) |
