
| Regimental number | 1217 |
| Place of birth | Young New South Wales |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Young, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Henrietta Tattersall, Wombat Road, Young, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | September 1916 Reinforcements |
| AWM Embarkation Roll number | 11/14/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Age at death from cemetery records | 22 |
| Place of burial | Cairo War Memorial Cemetery (Row O, Grave No. 181), Egypt |
| Panel number, Roll of Honour, Australian War Memorial | 10 |
| Miscellaneous information from cemetery records | Parents: William and Henrietta STOREY, Young, New South Wales |