| Regimental number | 7964 |
| Place of birth | Manchester England |
| Religion | Congregational |
| Occupation | Livery stable owner |
| Address | Latrobe, Tasmania |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs A S Chamberlain, Latrobe, Tasmania |
| Enlistment date | 5 October 1917 |
| Date of enlistment from Nominal Roll | 4 October 1917 |
| Rank on enlistment | Private |
| Unit name | 12th Battalion, 27th Reinforcement |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A71 Nestor on 28 February 1918 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 12th Battalion |
| Fate | Returned to Australia 5 April 1919 |