| Regimental number | 1753 |
| Place of birth | Ballarat, Victoria |
| Religion | Methodist |
| Occupation | Orchardist |
| Address | Bedfordale, Western Australia |
| Marital status | Married |
| Age at embarkation | 23 |
| Next of kin | Wife, Mrs Hope Champion, Beenup, Western Australia |
| Enlistment date | |
| Date of enlistment from Nominal Roll | |
| Rank on enlistment | Private |
| Unit name | 10th Light Horse Regiment, 11th Reinforcement |
| AWM Embarkation Roll number | 10/15/2 |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A24 Benalla on |
| Embarkation details | Unit embarked from Fremantle, Western Australia, on board HMAT A32 Themistocles on |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | Australian Mounted Divisional Train |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
