| Regimental number | 9576 |
| Place of birth | Dudley England |
| Religion | Church of England |
| Occupation | Baker |
| Address | 20 Little Riley Street, Surry Hills, Sydney, New South Wales |
| Marital status | Married |
| Age at embarkation | 35 |
| Next of kin | Wife, Mrs L Chambers, 20 Little Riley Street, Surry Hills, New South Wales |
| Enlistment date | 8 December 1915 |
| Rank on enlistment | Private |
| Unit name | Field Butchery and Bakery Reinforcement 14 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A70 Ballarat on 16 February 1916 |
| Rank from Nominal Roll | Lance Corporal |
| Unit from Nominal Roll | 5th Field Bakery |
| Fate | Returned to Australia 19 April 1919 |