| Regimental number | 5636 |
| Place of birth | Ryhope England |
| Religion | Church of England |
| Occupation | Butcher |
| Address | Wallsend, New South Wales |
| Marital status | Married |
| Age at embarkation | 29 |
| Next of kin | Wife, Mrs J Tiltman, Thomas Street, Wallsend, New South Wales |
| Enlistment date | 12 June 1916 |
| Rank on enlistment | Sapper |
| Unit name | Tunnelling Companies, October 1916, Reinforcements |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on 25 October 1916 |
| Rank from Nominal Roll | Sapper |
| Unit from Nominal Roll | 2nd Tunnelling Company |
| Fate | Returned to Australia 4 June 1919 |