| Regimental number | 2300 |
| Place of birth | Malton England |
| Religion | Church of England |
| Occupation | Groom |
| Address | Robe Terrace, Medindie, South Australia |
| Marital status | Single |
| Age at embarkation | 39 |
| Next of kin | Mother, Mrs. Ellen Chaloner, Osborne House, Newmarket, England |
| Enlistment date | 13 January 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Light Horse Regiment, 16th Reinforcement |
| AWM Embarkation Roll number | 10/8/4 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A59 Botanist on 26 April 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Camel Brigade Field Ambulance |
| Fate | Effective abroad (still overseas) |
