| Regimental number | 6872 |
| Place of birth | Yarraville Victoria |
| Religion | Roman Catholic |
| Occupation | Strevedore |
| Address | No Fixed Address |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs C Tiffen, 297 Graham Street, Port Melbourne, Victoria |
| Enlistment date | 27 July 1915 |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 22nd Reinforcement |
| AWM Embarkation Roll number | 23/23/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 6th Battalion |
| Fate | Returned to Australia 24 December 1918 |
