| Regimental number | 4991 |
| Place of birth | Winchelsea, Victoria |
| Religion | Church of England |
| Occupation | Labourer |
| Address | 76 Kaye Street, Carlton, Victoria |
| Marital status | Married |
| Age at embarkation | 30 |
| Next of kin | Wife, Mrs Rosalind Chalman,76 Kay Street, Carlton, Victoria |
| Enlistment date | 21 February 1916 |
| Rank on enlistment | Private |
| Unit name | 23rd Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/40/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A26 Armadale on 19 July 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 23th Battalion |
| Fate | Returned to Australia 12 June 1919 |