| Regimental number | 16884 |
| Place of birth | Gillingham England |
| Religion | Church of England |
| Occupation | Storeman |
| Address | Lewisham, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Lucy Tanner, 421 Illawarra Road, Marrickville, New South Wales |
| Enlistment date | 12 May 1916 |
| Date of enlistment from Nominal Roll | 12 May 1916 |
| Rank on enlistment | Private |
| Unit name | Australian Camel Field Ambulance |
| AWM Embarkation Roll number | 26/60/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A42 Boorara on 10 May 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 2nd Stationary Hospital |
| Fate | Returned to Australia 16 March 1919 |
