| Regimental number | 4498 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Warehouseman |
| Address | 'Ralvona', 33 Muston Street, Mosman, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Sophia May Tilburn, 'Ralvona', 33 Muston Street, Mosman, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | No 3 Australian General Hospital |
| AWM Embarkation Roll number | 26/67/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Mooltan on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd Australian General Hospital |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
