| Regimental number | 2303 |
| Place of birth | Derby Tasmania |
| Religion | Church of England |
| Occupation | Farmer |
| Address | 13 Spring Street, Melbourne, Victoria |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Annie Bertha Tebbutt, 13 Spring Street, Melbourne, Victoria |
| Enlistment date | 9 September 1914 |
| Rank on enlistment | Driver |
| Unit name | Australian Reserve Park 1, Company 10 |
| AWM Embarkation Roll number | 25/34/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on 20 October 1914 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Division Train |
| Fate | Returned to Australia 7 February 1919 |
