| Regimental number | 6596 |
| Place of birth | Sydney New South Wales |
| Religion | Church of England |
| Occupation | Coachbuilder |
| Address | Undercliffe, New South Wales |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs M Chaffer, Undercliffe Road, Undercliffe, New South Wales |
| Enlistment date | 17 July 1916 |
| Rank on enlistment | Private |
| Unit name | 4th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/21/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A60 Aeneas on 30 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Effective abroad (still overseas) |
