| Regimental number | 1712 |
| Place of birth | Angaston South Australia |
| Religion | Methodist |
| Occupation | Grazier |
| Address | Avenue Range, South Australia |
| Marital status | Single |
| Age at embarkation | 35 |
| Next of kin | Mother, Mrs Caroline Tavender, Naracoorte, South-east, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 43rd Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/60/2 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Veterinary Hospital |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |