| Regimental number | 1114 |
| Place of birth | Harrow England |
| Religion | Church of England |
| Occupation | Cook |
| Marital status | C |
| Age at embarkation | 31 |
| Next of kin | C. Chamberlain, 3 Cleveland Road, Barnes, London, England |
| Enlistment date | 9 September 1914 |
| Rank on enlistment | Lance Corporal |
| Unit name | 4th Battalion, H Company |
| AWM Embarkation Roll number | 23/21/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board Transport A14 Euripides on 20 October 1914 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 4th Battalion |
| Fate | Returned to Australia 29 July 1915 |
