| Regimental number | 287 |
| Place of birth | Launceston Tasmania |
| Religion | Methodist |
| Occupation | Miner |
| Address | Derby, Tasmania |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Foster Brother, C Tiffin, Derby, Tasmania |
| Enlistment date | 29 August 1914 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, B Company |
| AWM Embarkation Roll number | 23/29/1 |
| Embarkation details | Unit embarked from Hobart, Tasmania, on board Transport A2 Geelong on 20 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 27 August 1915 |
