| Regimental number | 6973 |
| Place of birth | Lake Rowan, Victoria |
| Religion | Church of England |
| Occupation | Driver |
| Address | 146 Pilgrim Street, Footscray, Victoria |
| Marital status | Single |
| Age at embarkation | 29 |
| Next of kin | Brother, Mr C A Chamberlain, 146 Pilgrim Street, Footscray, Victoria |
| Enlistment date | 11 September 1916 |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 23rd Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A20 Hororata on 23 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 5th Battalion |
| Fate | Returned to Australia 10 December 1918 |
