| Regimental number | 245 |
| Place of birth | Cootamundra New South Wales |
| Religion | Roman Catholic |
| Occupation | Carpenter |
| Address | Cooper Street, Cootamundra, New South Wales |
| Marital status | Single |
| Age at embarkation | 22 |
| Next of kin | Mother, Mrs Champion, Cooper Street, Cootamundra, New South Wales |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 1st Light Horse Regiment, B Squadron |
| AWM Embarkation Roll number | 10/6/1 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A16 Star Of Victoria on |
| Rank from Nominal Roll | 2nd Corporal |
| Unit from Nominal Roll | a Prov C |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
