| Regimental number | 964 |
| Place of birth | Molong New South Wales |
| Religion | Methodist |
| Occupation | Locomotive fireman |
| Address | Spearwood, Western Australia |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Harriett E Thomson, Spearwood PO, Spearwood via Fremantle, Western Australia |
| Enlistment date | 15 January 1917 |
| Rank on enlistment | 2nd Corporal |
| Unit name | Railway Unit, Section 3 |
| AWM Embarkation Roll number | 15/9/1 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A28 Miltiades on 29 January 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
