| Regimental number | 4498 |
| Religion | Church of England |
| Occupation | Warehouseman |
| Address | Mosman, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs S M Tilburn, 'Ralvona', 33 Muston Street, Mosman, New South Wales |
| Previous military service | 40th Australian Army Medical Corps |
| Enlistment date | 15 April 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Australian General Hospital |
| AWM Embarkation Roll number | 26/67/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on 15 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia 9 August 1919 |
