| Regimental number | 6249 |
| Place of birth | Suffolk England |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Perth, Western Australia |
| Marital status | Single |
| Age at embarkation | 31 |
| Next of kin | Father, T Challis, Hill Cottages, Kirbay Bedon near Norwich, England |
| Enlistment date | 12 April 1916 |
| Rank on enlistment | Private |
| Unit name | 11th Battalion, 20th Reinforcement |
| AWM Embarkation Roll number | 23/28/4 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A46 Clan Macgillivray on 18 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 11th Battalion |
| Fate | Returned to Australia 1 June 1919 |
