| Regimental number | 2697 |
| Place of birth | Horncastle England |
| Religion | Church of England |
| Occupation | Farmer |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Robert Tebbutt, 'Thorsway', Caiston, Lincolnshire, England |
| Enlistment date | 3 September 1914 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A22 Rangatira on 25 September 1914 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 5th Field Artillery Brigade |
| Fate | Returned to Australia 24 September 1918 |