| Regimental number | 1968 |
| Place of birth | Parkes New South Wales |
| Religion | Presbyterian |
| Occupation | Chauffeur |
| Address | Clarinda Street, Parkes, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Father, William E. Tom, Clarinda Street, Parkes, New South Wales |
| Enlistment date | 23 September 1915 |
| Date of enlistment from Nominal Roll | 28 September 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 13th Reinforcement |
| AWM Embarkation Roll number | 10/11/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 20 December 1915 |
| Rank from Nominal Roll | Sergeant |
| Unit from Nominal Roll | Australian Army Service Corps |
| Fate | Returned to Australia 10 July 1919 |