| Regimental number | 32361 |
| Place of birth | Malvern Victoria |
| Religion | Church of England |
| Occupation | Shop assistant |
| Address | 142 Hickford Street, East Brunswick, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, A Tivendale, Cheltenham, Victoria |
| Enlistment date | 30 September 1916 |
| Rank on enlistment | Gunner |
| Unit name | Howitzer Brigade 21, Reinforcement 10 |
| AWM Embarkation Roll number | 13/131/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board RMS Osterley on 14 February 1917 |
| Rank from Nominal Roll | Lance Bombardier |
| Unit from Nominal Roll | 4th Field Artillery Brigade |
| Fate | Returned to Australia 1 July 1919 |
| Miscellaneous details (Nominal Roll) | *Noted Victor Albert NR |
