| Regimental number | 6812 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Miner |
| Address | 69 Hanover Street, Waterloo, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs J M Tyson, 69 Walker Street, Waterloo, New South Wales |
| Enlistment date | 1 July 1916 |
| Date of enlistment from Nominal Roll | 13 July 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/30/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 5 January 1919 |
