| Regimental number | 3O4 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Hoseman |
| Address | Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 33 |
| Next of kin | sister, Miss Louisa M Tiley, Raglan, Fraser Street, Dulwich Hill, New South Wales |
| Enlistment date | |
| Rank on enlistment | Sapper |
| Unit name | Mining Corps 1, Company 1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Company Quartermaster Sergeant |
| Unit from Nominal Roll | 1st Tunnelling Company |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
