
| Regimental number | 25 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Chauffeur |
| Address | Wellington, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Emma Chambers, 11 Holland Street, Blackfriars, London, 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 |