| Regimental number | 30239 |
| Place of birth | Parramatta New South Wales |
| Religion | Church of England |
| Occupation | Clerk |
| Address | Parramatta, New South Wales |
| Marital status | Single |
| Age at embarkation | 18 |
| Next of kin | Father, C A B Champion, Wigram Street, Harris Park, Parramatta, New South Wales |
| Previous military service | 20th Infantry |
| Enlistment date | 5 September 1916 |
| Rank on enlistment | Driver |
| Unit name | Divisional Ammunition Column 2, Reinforcement 11 |
| AWM Embarkation Roll number | 25/90/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A24 Benalla on 9 November 1916 |
| Rank from Nominal Roll | Driver |
| Unit from Nominal Roll | 1st Divisional Ammunition Column |
| Fate | Returned to Australia 23 July 1919 |
