| Regimental number | 6797 |
| Religion | Church of England |
| Address | Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs T.M. Chick, 14 Vere Street, Collingwood, Victoria |
| Enlistment date | |
| Unit name | 24th Battalion 19th Reinforcement |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A11 Ascanius on |
| Date of death | |
| Place of burial | Fawkner Cemetery |