| Regimental number | 5063 |
| Place of birth | Hokianga, New Zealand |
| Religion | Roman Catholic |
| Occupation | Bushman |
| Marital status | Single |
| Age at embarkation | 40 |
| Next of kin | Mother, Mrs Mary Chapman, Kohu Kohu, Hokianga, New Zealand |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Place of enlistment | Holsworthy, New South Wales |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/39/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A33 Ayrshire on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
