| Regimental number | 15011 |
| Place of birth | Norwich England |
| Religion | Church of England |
| Occupation | Grocer's assistant |
| Address | Launceston, Tasmania |
| Marital status | Married |
| Age at embarkation | 26 |
| Next of kin | Wife, Mrs M Chambers 'The Falls', Pyengana, Tasmania |
| Enlistment date | 15 March 1916 |
| Rank on enlistment | Private |
| Unit name | Army Medical Corps, August 1916 Reinforcements |
| AWM Embarkation Roll number | 26/99/2 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A10 Karroo on 18 September 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Army Medical Corps |
| Fate | Discharged 17 January 1917 |
