| Regimental number | 1179 |
| Place of birth | Ballarat, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 50 Barry Street, Carlton, Victoria |
| Marital status | Single |
| Age at embarkation | 28 |
| Next of kin | Mother, Mrs Martha Chadwick, 50 Barry Street, Carlton, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 8th Light Horse Regiment, 9th Reinforcement |
| AWM Embarkation Roll number | 10/13/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Other details from Roll of Honour Circular | Enlisted 5/1/15, LH 13, RFCTS 1. Transferred to LH 8, RFCTS 9. TOS, LH 8, 6/1/16; 48th Bty, AFA, 2/4/16; 1 DAC, 1/1/17. |
| Fate | Killed in Action |
| Place of death or wounding | Somme sector, France |
| Age at death | 30 |
| Place of burial | Quarry Cemetery (Plot VI, Row D, Grave No. 2), Montauban, France |
| Panel number, Roll of Honour, Australian War Memorial | 21 |