| Regimental number | 6166 |
| Place of birth | Oodlawirra South Australia |
| Religion | Methodist |
| Occupation | Grazier |
| Address | Hallett, South Australia |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Gertrude Blanche Tiver, Hallett, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 27th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/44/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 7th Light Trench Mortar Battery |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |