| Regimental number | 5292 |
| Place of birth | Mount Gambier South Australia |
| Religion | Church of England |
| Occupation | Clerk |
| Address | North Adelaide, South Australia |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs G L Tucker, 166 Archer Street, North Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Convalescent Depot, Harefield Park, London |
| AWM Embarkation Roll number | 26/84/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A67 Orsova on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Field Ambulance |
| Fate | Returned to Australia |
| Miscellaneous information from cemetery records | Plaque in South Australian Garden of Remembrance |
| Date of death |