| Regimental number | 20573 |
| Place of birth | Mitcham South Australia |
| Religion | Baptist |
| Occupation | Civil servant |
| Address | Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, W C Thorn, Accountant's Office, Survey Department, Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, General Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Effective abroad (still overseas) |