| Regimental number | 3927 |
| Place of birth | Warwickshire England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Wm Felthan, Latrobe Terrace, Paddington, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | Mother, Mrs Rachel Tomes, Neubold-on-Stour near Stratford-on-Avon, Warwickshire, England |
| Enlistment date | 21 February 1917 |
| Rank on enlistment | Private |
| Unit name | 4th Pioneer Battalion, Reinforcement 10 |
| AWM Embarkation Roll number | 14/16/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A20 Hororata on 13 June 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Pioneer Battalion |
| Fate | Returned to Australia 21 April 1918 |
