
| Regimental number | 1622 |
| Place of birth | Tatura Victoria |
| Religion | Church of England |
| Occupation | Farm labourer |
| Address | c/o J Tavner, Tatura, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs Carrie Tavner, Mooroopna, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 37th Battalion, 1st Reinforcement |
| AWM Embarkation Roll number | 23/54/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 8th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Work at Bray on 24 August 1918. Recommendation date: |
| Fate | Returned to Australia |