| Regimental number | 12077 |
| Place of birth | Carcoar New South Wales |
| Religion | Church of England |
| Occupation | Night officer |
| Address | Woodstock, New South Wales |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Jane Tucker, Woodstock, New South Wales |
| Enlistment date | 11 September 1915 |
| Rank on enlistment | Private |
| Unit name | Field Ambulance 9, Section B |
| AWM Embarkation Roll number | 26/52/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 1 May 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 9th Field Ambulance |
| Fate | Returned to Australia 23 September 1918 |
| Date of death | 23 October 1961 |
| Place of burial | Woronora Cemetery |
