| Regimental number | 1112 |
| Place of birth | Yatala Queensland |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Mrs Thosborne, Wood Street, West End, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Mother, Mrs Jane Chardon, c/o Mrs Thosborne, Wood Street, West End, Brisbane, Queensland |
| Enlistment date | 14 September 1914 |
| Rank on enlistment | Private |
| Unit name | 9th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/26/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on 22 December 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Battalion |
| Fate | Returned to Australia 29 August 1915 |
