| Regimental number | 18117 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Shipping clerk |
| Address | 'Kingswood', 99 Jersey Road, Woollahra, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Father, Thomas Tierney, 'Kingswood', 99 Jersey Road, Woollahra, Sydney, New South Wales |
| Previous military service | 21st Infantry |
| Enlistment date | 11 January 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Field Ambulance, 30th Reinforcement |
| AWM Embarkation Roll number | 26/39/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A73 Commonwealth on 2 November 1917 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
