| Regimental number | 2651 |
| Place of birth | Orange New South Wales |
| Other Names | TANNER |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Walgett, New South Wales |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Brother-in-Law, Edgar A Tanner, Great North Road, Abbotsford, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 33rd Battalion, 5th Reinforcement |
| AWM Embarkation Roll number | 23/50/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Napier on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 33rd Battalion |
| Fate | Died of disease |
| Place of burial | Tidworth Military Cemetery (Row C, Grave No. 291), North Tidworth, Wiltshire, England |
| Panel number, Roll of Honour, Australian War Memorial | 123 |
| Miscellaneous information from cemetery records | See TANNER the true family name |
| Other details |
War service: England Medal: British War Medal |