| Regimental number | 7143 |
| Place of birth | Goulburn New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | Goulburn, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E Tilley, Grafton Street, Goulburn, New South Wales |
| Enlistment date | 2 August 1917 |
| Rank on enlistment | Private |
| Unit name | 18th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/35/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia 19 April 1919 |
