| Regimental number | 853 |
| Place of birth | Wrexham Wales |
| Religion | Church of England |
| Occupation | Farm hand |
| Address | Huntroide, Rexham, North Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs Eliza Chadwick, Huntroide, Rexham, North Wales |
| Enlistment date | 26 February 1915 |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, C Company |
| AWM Embarkation Roll number | 23/34/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A32 Themistocles on 12 May 1915 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 17th Battalion |
| Fate | Returned to Australia 4 May 1917 |