| Regimental number | 19060 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Assistant, Quarantine Service |
| Address | Manly, New South Wales |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs N I Thorn, Quarantine Station, Manly, New South Wales |
| Enlistment date | 25 June 1917 |
| Date of enlistment from Nominal Roll | 1 June 1917 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, September 1917 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A72 Beltana on 19 January 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Field Ambulance |
| Fate | Returned to Australia 28 August 1919 |
