| Regimental number | 4927 |
| Place of birth | East Adelaide South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | East Terrace, Glenelg, South Australia |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Mother, Mrs C Tucker, East Terrace, Glenelg, South Australia |
| Enlistment date | 31 May 1915 |
| Rank on enlistment | Private |
| Unit name | 10th Battalion, 15th Reinforcement |
| AWM Embarkation Roll number | 23/27/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board RMS Mongolia on 9 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia 5 July 1916 |
