| Regimental number | 2395 |
| Place of birth | Jeparit Victoria |
| Religion | Roman Catholic |
| Occupation | Striker |
| Address | 45 Victoria parade, Collingwood, Victoria |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Kate Tilley, 45 Victoria parade, Collingwood, Victoria |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 4th Light Horse Regiment, 16th Reinforcement |
| AWM Embarkation Roll number | 10/9/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A53 Itria on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Light Horse Regiment |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
