| Regimental number | 3123 |
| Place of birth | Sunny Corner New South Wales |
| Religion | Methodist |
| Occupation | Blacksmith |
| Address | Portland, New South Wales |
| Marital status | Married |
| Age at embarkation | 27 |
| Next of kin | Wife, Mrs Clarice Burnett Chadwick, Portland, New South Wales |
| Enlistment date | 9 November 1916 |
| Rank on enlistment | Private |
| Unit name | 45th Battalion, 8th Reinforcement |
| AWM Embarkation Roll number | 23/62/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A72 Beltana on 25 November 1916 |
| Regimental number from Nominal Roll | 3132 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 4 DivH |
| Fate | Returned to Australia 23 June 1919 |