| Religion | Roman Catholic |
| Occupation | Medical practitioner |
| Address | Ballarat, Victoria |
| Marital status | Married |
| Age at embarkation | 42 |
| Next of kin | Wife, Mrs E M Chaplin, Club Hotel, Portland, Victoria |
| Previous military service | A Army Medical Corps |
| Enlistment date | |
| Rank on enlistment | Captain |
| Unit name | Field Ambulance 10 |
| AWM Embarkation Roll number | 26/53/1 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A54 Runic on |
| Recommendations (Medals and Awards) |
Unspecified Recommendation date: |
| Fate | No details of fate entered on Nominal Roll |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
