| Regimental number | 2917 |
| Place of birth | Mcdonald Town New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Croydon, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs A Tilley, 66 Holborrow Street, Croydon, Sydney, New South Wales |
| Enlistment date | 21 July 1915 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 9th Reinforcement |
| AWM Embarkation Roll number | 23/30/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A8 Argyllshire on 30 September 1915 |
| Regimental number from Nominal Roll | 2917A |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 45th Battalion |
| Fate | Returned to Australia 21 March 1919 |