| Regimental number | 3690 |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Broken Hill, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs A Thomas, Railway Town, Broken Hill, New South Wales |
| Enlistment date | 21 January 1916 |
| Rank on enlistment | Sapper |
| Unit name | |
| AWM Embarkation Roll number | 16/13/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A69 Warilda on 22 May 1916 |
| Miscellaneous details (Nominal Roll) | see other |
