| Regimental number | 578 |
| Place of birth | Wagga Wagga New South Wales |
| Religion | Methodist |
| Occupation | Lineman |
| Address | Murray Street, Wagga Wagga, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Esther Pitman Tozer, Murray Street, Wagga Wagga, New South Wales |
| Enlistment date | 21 January 1916 |
| Date of enlistment from Nominal Roll | 19 January 1916 |
| Rank on enlistment | Private |
| Unit name | 36th Battalion, B Company |
| AWM Embarkation Roll number | 23/53/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 13 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 3rd ATVTrfC |
| Fate | Returned to Australia 3 July 1919 |