| Regimental number | 1633 |
| Place of birth | Teddington England |
| Religion | Methodist |
| Occupation | Mine labourer |
| Address | Cambellego, Western Line, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs E Taverner, 55 Railway Road, Teddington, Middlesex, England |
| Enlistment date | 7 December 1914 |
| Rank on enlistment | Private |
| Unit name | 3rd Battalion, 3rd Reinforcement |
| AWM Embarkation Roll number | 23/20/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A49 Seang Choon on 11 February 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia 29 August 1915 |
| Date of death | 13 May 1946 |
| Place of burial | Wellington Cemetery |
