| Regimental number | 1109 |
| Place of birth | Brisbane Queensland |
| Religion | Presbyterian |
| Occupation | Piano tuner and repairer |
| Address | Allison Street, Mayne Junction, Brisbane, Queensland |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, Frederick Champion, Allison Street, Mayne Junction, Brisbane, Queensland |
| Previous military service | AGA |
| Enlistment date | 25 June 1917 |
| Rank on enlistment | Gunner |
| Unit name | Heavy Artillery Group 36, Reinforcement 14 |
| AWM Embarkation Roll number | 13/49/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A64 Demosthenes on 9 November 1917 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 36th Heavy Artillery Brigade |
| Fate | Returned to Australia 1 April 1919 |
