
| Regimental number | 4686 |
| Place of birth | Adelaide, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 105 Crown Street, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Mother, Mrs I Chalk, 173 Gilles Street, Adelaide, South Australia |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 17th Battalion, 12th Reinforcement |
| AWM Embarkation Roll number | 23/34/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | 3rd Battalion |
| Fate | Returned to Australia |
| Discharge date | |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal Commenced return to Australia, 15 November 1919; disembarked, 4 January 1920; discharged, 24 February 1920. |