| Regimental number | 3382 |
| Place of birth | Blayney New South Wales |
| Religion | Church of England |
| Occupation | Carter |
| Address | Redfern, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs Mary Ann Tanner, 105 Pitt Street, Redfern, New South Wales |
| Enlistment date | 24 May 1917 |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/50/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Port Melbourne on 16 July 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Returned to Australia 31 October 1917 |
