| Regimental number | 7695 |
| Place of birth | Clandulla New South Wales |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Mount Vincent, Llford via Capertee, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs M J Chadwick, Mount Vincent, Ilford via Capertee, New South Wales |
| Enlistment date | 21 November 1917 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 26th Reinforcement |
| AWM Embarkation Roll number | 23/30/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A54 Runic on 22 March 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 13th Battalion |
| Fate | Returned to Australia 23 March 1919 |