| Regimental number | 1211 |
| Place of birth | Penrith England |
| Religion | Protestant |
| Occupation | Farm hand |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Mother, Mrs Edith Lewis, 11 Helsby Road, Warbreek Moor, Aintree, Liverpool, England |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 22nd Battalion, D Company |
| AWM Embarkation Roll number | 23/39/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A38 Ulysses on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 22nd Battalion |
| Fate | Returned to Australia |
| Miscellaneous details (Nominal Roll) | *Noted CHAMPION Charles Edward NR |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
