| Regimental number | 1381 |
| Place of birth | Bundaberg Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Bundaberg, Queensland |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Margaret Tanner, Sand Hills, Bundaberg, Queensland |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/10/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashrobra on |
| Regimental number from Nominal Roll | 1381A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Field Artillery Brigade |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
