| Regimental number | 5045 |
| Place of birth | Hastings England |
| Religion | Methodist |
| Occupation | Farm labourer |
| Address | Dunoon, Lismore, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Sister, Miss M E Thomas, 31 Wellington Square, Hastings Sussex, England |
| Enlistment date | 10 November 1915 |
| Rank on enlistment | Private |
| Unit name | 15th Battalion, 16th Reinforcement |
| AWM Embarkation Roll number | 23/32/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star Of Victoria on 31 March 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 3rd Australian Auxiliary Hospital |
| Fate | Returned to Australia 4 June 1919 |