
| Regimental number | 191 |
| Place of birth | Newport England |
| Religion | Congregational |
| Occupation | Farm labourer |
| Address | Camperdown, Victoria |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Catherine Churchman, Sawston, Cambridgeshire, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 3rd Divisional Cyclist Company |
| AWM Embarkation Roll number | 12/6/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Fate | Returned to Australia |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 15 Date: |