| Regimental number | 2228 |
| Place of birth | Broken Hill New South Wales |
| Religion | Methodist |
| Occupation | Wheelwright |
| Address | Burra, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs. E. Tiver, Aberdeen, Burra, South Australia |
| Enlistment date | 13 November 1915 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 15th Reinforcement |
| AWM Embarkation Roll number | 10/8/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A68 Anchises on 16 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Divisional Ammunition Column |
| Fate | Returned to Australia 22 May 1919 |
