| Regimental number | 530 |
| Place of birth | Toowoomba Queensland |
| Religion | Church of England |
| Occupation | Farmer |
| Address | Glenhaven, via Crow's Nest, Queensland |
| Marital status | Single |
| Age at embarkation | 23 |
| Next of kin | Mother, Mrs Elizabeth Chambers, Glenhaven, via Crow's Nest, Queensland |
| Enlistment date | 27 October 1914 |
| Rank on enlistment | Private |
| Unit name | 2nd Light Horse Field Ambulance |
| Embarkation details | Unit embarked from Brisbane, Queensland, on board HMAT A30 Borda on 15 December 1914 |
| Miscellaneous details (Nominal Roll) | see other |
