| Regimental number | 969 |
| Place of birth | Molong New South Wales |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Hill Street, Molong, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Mother, Mrs. Eliza Tanner, Hill Street, Molong, New South Wales |
| Enlistment date | 20 January 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Light Horse Regiment, 5th Reinforcement |
| AWM Embarkation Roll number | 10/11/2 |
| Embarkation details | Unit embarked from Newcastle, New South Wales, on board HMAT A41 Forty-One on 22 May 1915 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 5th Army AFA |
| Fate | Returned to Australia 28 March 1919 |
