| Regimental number | 5782 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Bunyip, Victoria |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs. S. Thormborough, 478 Halliwell Road, Bolton, Lancashire, England |
| Enlistment date | 10 March 1916 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 18th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on 3 July 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
