| Regimental number | *6164 |
| Religion | Church of England |
| Occupation | Grocer's assistant |
| Address | Northcote, Torrensville, South Australia |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Father, S Tilbrook, Northcote, Torrensville, South Australia |
| Enlistment date | 18 August 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Field Ambulance, 11th Reinforcement |
| AWM Embarkation Roll number | 26/46/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A47 Mashobra on 4 October 1915 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
