
| Regimental number | 2481 |
| Date of birth | |
| Place of birth | Sydney New South Wales |
| Religion | Presbyterian |
| Occupation | Dental apprentice |
| Address | Jura, Stuart Street, Wahroonga, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, T S Champion Jura, Stuart Street Wahroonga, New South Wales |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 1st Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/18/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A67 Orsova on |
| Regimental number from Nominal Roll | Commissioned |
| Rank from Nominal Roll | Lieutenant |
| Unit from Nominal Roll | 1st Battalion |
| Promotions |
2nd Lieutenant Unit: INF1 Promotion date: |
| Fate | Returned to Australia |