| Regimental number | 8109 |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Manly, New South Wales |
| Marital status | Single |
| Age at embarkation | 25 |
| Next of kin | Father, W B Tebbutt, 19 Sydney Road, Manly, New South Wales |
| Enlistment date | 3 August 1915 |
| Date of enlistment from Nominal Roll | 12 July 1915 |
| Rank on enlistment | Private |
| Unit name | 1 Australian General Hospital 1-6 Special Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 11 October 1915 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | 1st Light Horse Regiment |
| Fate | Returned to Australia 5 March 1919 |
