| Regimental number | 2376 |
| Place of birth | Cumberland England |
| Religion | Methodist |
| Occupation | Bush labourer |
| Address | c/o H C Andrews, Margaret Street, Merriwa, New South Wales |
| Marital status | Single |
| Age at embarkation | 27 |
| Next of kin | Father, Tom Kitchen, 35 Peters Street, Whitehaven, England |
| Enlistment date | 21 September 1915 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 4th Reinforcement |
| AWM Embarkation Roll number | 23/47/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on 11 March 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Returned to Australia 10 July 1916 |