| Regimental number | 966 |
| Place of birth | Bradford England |
| Religion | Church of England |
| Occupation | Labourer |
| Address | c/o Miss N. Hudson, 111 Park Street, South Melbourne, Victoria |
| Marital status | Married |
| Age at embarkation | 25 |
| Next of kin | Wife, Mrs. E.A. Tillett, c/o Miss N. Hudson, 111 Park Street, South Melbourne, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 31st Battalion, D Company |
| AWM Embarkation Roll number | 23/48/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A62 Wandilla on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 31st Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
