| Regimental number | 69121 |
| Place of birth | Stoke On Trent England |
| Religion | Church of England |
| Occupation | Potter |
| Address | District Hospital, Mildura, Victoria |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Father, H Tabbiner, 176 Cliff Vale, Stoke-on-Trent, England |
| Enlistment date | 5 July 1918 |
| Rank on enlistment | Private |
| Unit name | 16th General (Victorian) Reinforcements |
| AWM Embarkation Roll number | 23/111/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Carpentaria on 7 November 1918 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |