| Regimental number | 10166 |
| Religion | Church of England |
| Occupation | Architecht |
| Marital status | Single |
| Age at embarkation | 30 |
| Next of kin | Brother, H.M. Chard, State Government Savings Bank, Manly, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | Mena Convalescent Depot, 1st Reinforcements |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A71 Nestor on |