
| Regimental number | 7571 |
| Place of birth | Buangor Victoria |
| Religion | Church of England |
| Occupation | Pastrycook |
| Address | Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs E Tiller, 507 Drummond Street, Carlton, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 7th Battalion, 25th Reinforcement |
| AWM Embarkation Roll number | 23/24/5 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Battalion |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 109 Date: |